Individual
CORNELIA BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
702 W MAIN ST, GIBSON, GA 30810-4014
(706) 598-3359
(478) 864-1288
Mailing address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5931
(706) 721-5945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN186686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN186686
GEORGIA LICENSE
GA
Enumeration date
11/23/2015
Last updated
07/21/2022
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