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Dietrice Bennett
NPI 1225290372 · on the registry since 2008
Practice
- Address
- 2743 Jacanar Ln Sw
Atlanta, GA 30331 - Phone
- (404) 625-3924
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-06-30
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