Individual
BRIGITTE BENNETT LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
3155 N POINT PKWY STE F100, ALPHARETTA, GA 30005-5495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN236311
GA
Other
Enumeration date
02/06/2019
Last updated
11/12/2025
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