STEPHANIE FAYE BENNETT

MACON, GA
NPI1043086879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  RN251069)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
MRS. STEPHANIE FAYE BENNETT
101 GATEWAY DRIVE
MACON, GA 31210
Phone number: 478-210-1670
Mailing Address
MRS. STEPHANIE FAYE BENNETT
5661 OCMULGEE EAST BLVD
MACON, GA 31217-5797
Phone number: 478-960-9592