Individual
ALEXIS BAYLEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-1515
(800) 637-2378
Mailing address
238 WHITE OAKS CIR, BLUFFTON, SC 29910-5704
(843) 540-2853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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