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Individual

ELIZABETH BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
340 EISENHOWER DR STE A, SAVANNAH, GA 31406-1600
(912) 353-1001
Mailing address
340 EISENHOWER DR STE 1400A, SAVANNAH, GA 31406-1605
(912) 353-1001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003234
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003234391A
GA
Enumeration date
05/11/2017
Last updated
04/12/2023
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