Mary W Bennett, ATC, LAT

NPI #1134158538 in Vidalia, Georgia

Provider Information

NPI Number
1134158538
Entity Type
Individual
Name
Mary W Bennett, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jun 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
101 HARRIS INDUSTRIAL BLVD
State
Georgia
ZIP Code
30474-8845
Phone
(912) 277-2035

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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