Individual
LISA E. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, RADIOLOGY DEPARTMENT, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06072
GA
Other
Enumeration date
05/26/2007
Last updated
05/03/2019
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