Grant D. Bennett
NPI #1376700401 in Blackshear, Georgia
Provider Information
- NPI Number
- 1376700401
- Entity Type
- Organization
- Organization Name
- Grant D. Bennett
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 16, 2008
- Last Updated
- Apr 25, 2019
Practice Location
- Address
- 6223 CLARK RD.
- City
- Blackshear
- State
- Georgia
- ZIP Code
- 31516
- Phone
- (912) 807-6625
Authorized Official
- Name
- GRANT D. BENNETT
- Title
- OWNER/MANAGER/TECHNICIAN
- Phone
- (912) 614-2269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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