Individual
KAYLA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 W HANCOCK ST, MILLEDGEVILLE, GA 31061-3375
(478) 445-5004
Mailing address
103 VICTORIA TRCE, CANTON, GA 30115-4400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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