Individual
INGA ELITA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
550 REDMOND RD NW, ROME, GA 30165-1416
(706) 233-8516
(706) 233-8517
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN161797
GA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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