Grant Douglas Bennett
NPI #1164691267 in Blackshear, Georgia
Provider Information
- NPI Number
- 1164691267
- Entity Type
- Individual
- Name
- Grant Douglas Bennett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 22, 2008
- Last Updated
- May 16, 2008
Practice Location
- Address
- 3351 US HIGHWAY 84
- Address 2
- SUITE 102
- City
- Blackshear
- State
- Georgia
- ZIP Code
- 31516-2100
- Phone
- (912) 807-6625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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