Individual
BENITRA TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 CAMERONS WAY, COVINGTON, GA 30016-1163
(678) 361-3800
Mailing address
75 CAMERONS WAY, COVINGTON, GA 30016-1163
(678) 361-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG04190072
GA
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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