Individual
MORGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1240 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3861
(770) 534-7200
Mailing address
1240 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3861
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-002980
LICENSE
GA
Enumeration date
09/18/2017
Last updated
09/18/2017
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