Individual
DR. NICOLE MARIE BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
115 SUGAR BERRY PL, SUITE 119, DALLAS, GA 30157-7189
(678) 778-6955
Mailing address
115 SUGAR BERRY PL, SUITE 119, DALLAS, GA 30157-7189
(678) 778-6955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007600
GA
Other
Enumeration date
06/04/2006
Last updated
06/28/2012
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