Individual
JILLIAN FRANCES BENSEN-EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
13314 GA HIGHWAY 144, RICHMOND HILL, GA 31324-7387
(912) 910-2010
Mailing address
2900 GARDEN HILLS LOOP, RICHMOND HILL, GA 31324-6181
(516) 582-9722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002319
GA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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