Individual
GERTRUDE KRISTINE BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2766
Mailing address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2766
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
028140
GA
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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