Individual
AMY R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1515 HAPPY VALLEY RD, ROSSVILLE, GA 30741-2207
(423) 903-0221
Mailing address
1515 HAPPY VALLEY RD, ROSSVILLE, GA 30741-2207
(423) 903-0221
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
306500
GA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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