Individual
STEPHANIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
226 ALCOVY ST, MONROE, GA 30655-2183
(770) 267-8461
Mailing address
226 ALCOVY ST, MONROE, GA 30655-2183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN077666
GA
Other
Enumeration date
02/25/2013
Last updated
04/11/2018
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