Individual
MS. DENISE LOUISE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
1255 HIGHWAY 54 W, PIEDMONT FAYETTE HOSPITAL - DIABETES EDUCATION DEPT, FAYETTEVILLE, GA 30214-4526
(770) 719-6621
Mailing address
1255 HIGHWAY 54 W, PIEDMONT FAYETTE HOSPITAL - DIABETES EDUCATION DEPT, FAYETTEVILLE, GA 30214-4526
(770) 719-6621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000572
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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