Individual
ANNA BRANDON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1026
(404) 785-6000
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN242160
GA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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