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Individual

ANNETTE LOUISE BENNETT-BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29899
SC
207R00000X
Internal Medicine Physician
LL29899
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861691487
NPI
SC
05
298993
SC
01
DQ5333
RAILROAD MEDICARE
SC
05
GP0077
SC
05
GP5407
SC
01
P01505879
RAILROAD MEDICARE
SC
Enumeration date
07/13/2007
Last updated
11/25/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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