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Individual

MRS. DENISE B. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
13202 CLEVELAND ST W STE 100, NAHUNTA, GA 31553-2842
(912) 462-3784
(912) 462-8040
Mailing address
13202 CLEVELAND ST W STE 100, NAHUNTA, GA 31553-2842
(912) 462-3784
(912) 462-8040

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018687
GA

Other

Enumeration date
12/07/2005
Last updated
05/12/2009
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