Individual
MRS. BARBARA DANIEL BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 HAZELBRAND RD NE, COVINGTON, GA 30014-1510
(770) 787-3977
(770) 784-3022
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 787-3977
(770) 784-3022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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