Individual
MARK SEAN BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 PEACHTREE ST, SUITE 1600, ATLANTA, GA 30308-2209
(404) 253-6820
(404) 874-1249
Mailing address
DEPT 1029 PO BOX 740209, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN123243
GA
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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