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Individual

SHANTE JASMINE BENBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(770) 382-6120
Mailing address
500 SYCAMORE LN APT 108, WOODSTOCK, GA 30188-7320
(229) 583-2318

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003848
GA

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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