Individual
JENNIFER S BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
58 BIG A ROAD, TOCCOA, GA 30577-6000
(706) 886-6819
(706) 282-5368
Mailing address
58 BIG A ROAD, TOCCOA, GA 30577-6000
(706) 886-6819
(706) 282-5368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
144863
GA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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