Individual
MR. CLYDE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CDE
Contact information
Practice address
566 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 467-6500
(770) 467-6513
Mailing address
566 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 467-6500
(770) 467-6513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8319
GA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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