Individual
MR. SAMUEL ROWAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
900 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-2452
(614) 706-2786
Mailing address
5095 ZIMMER DRIVE, COLUMBUS, OH 43232
(419) 602-2125
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.401872
OH
Other
Enumeration date
11/09/2016
Last updated
03/17/2018
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