Individual
KRISTIE J BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1056 N HIGHLAND AVE NE, ATLANTA, GA 30306-3551
(404) 343-0887
(404) 343-2024
Mailing address
1056 N HIGHLAND AVE NE, ATLANTA, GA 30306-3551
(404) 343-0887
(404) 343-2024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4510
MA
152W00000X
Optometrist
Primary
OPT002410
GA
Other
Enumeration date
05/10/2006
Last updated
05/04/2016
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