Individual
SHARON CHRISTINA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
101 W PONCE DE LEON AVE, #242, DECATUR, GA 30030-2542
(404) 778-7622
Mailing address
101 W PONCE DE LEON AVE, #242, DECATUR, GA 30030-2542
(404) 778-7622
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN228053
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN228053
GA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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