Individual
MS. COURTNEY ALLEEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 424-6893
Mailing address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(678) 819-0357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN210038
GA
Other
Enumeration date
01/13/2020
Last updated
12/13/2022
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