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Individual

NICOLE E BENTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 723-5949
(706) 723-5949
Mailing address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 723-5949
(706) 723-5949

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCH009053
GA

Other

Enumeration date
03/25/2014
Last updated
03/25/2014
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