Individual
MS. ANNA VIRGINIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1243 US HIGHWAY 319 S, MOULTRIE, GA 31768-0565
(229) 985-6738
Mailing address
1243 US HIGHWAY 319 S, MOULTRIE, GA 31768-0565
(229) 985-6738
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN144414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000975268A
—
GA
Enumeration date
01/09/2006
Last updated
07/28/2023
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