SearchGeorgia246RM2200X

Jacqueline Bennett, C.E.O

NPI 1992597496 · on the registry since 2025

Practice

Address
1139 Hwy 54 E Lanier Ave Suite J
Fayetteville, GA 30215
Phone
(470) 302-7769
Fax
(888) 666-1770

Registry record

Primary taxonomy
246RM2200X
246RM2200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-20

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