Individual
ASHLEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, LD
Contact information
Practice address
2115 SUGARSTONE CT, LAWRENCEVILLE, GA 30043-5055
(770) 380-4451
Mailing address
2115 SUGARSTONE CT, LAWRENCEVILLE, GA 30043-5055
(770) 380-4451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003854
GA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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