Individual
AMY ELIZABETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3613 BRASELTON HWY STE 101, DACULA, GA 30019-4665
(678) 482-2014
Mailing address
160 PRESTWYCK OAK PL, LAWRENCEVILLE, GA 30043-2962
(706) 206-8094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO10164
GA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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