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Grant Bennett
NPI 1164691267 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3351 Us Highway 84
Suite 102
Blackshear, GA 31516 - Phone
- (912) 807-6625
- Fax
- (912) 807-0212
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia