Individual
MR. GARRETT N BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 N. CUTHBERT ST., MILLER COUNTY MEDICAL CENTER, COLQUITT, GA 39837-3517
(229) 758-3344
(229) 758-6622
Mailing address
208 N. CUTHBERT ST, COLQUITT, GA 39837-3517
(229) 758-3344
(229) 758-6622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460811915A
—
GA
05
—
460811915B
—
GA
Enumeration date
09/20/2005
Last updated
04/11/2016
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