GRANT DOUGLAS BENNETT

BLACKSHEAR, GA
NPI1164691267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: GA  2008500)
Enumeration Date2008-02-22
Last Update Date2008-05-16
Business Address
-- GRANT DOUGLAS BENNETT
3351 US HIGHWAY 84 SUITE 102
BLACKSHEAR, GA 31516-2100
Phone number: 912-807-6625
Mailing Address
-- GRANT DOUGLAS BENNETT
6223 CLARK RD
BLACKSHEAR, GA 31516-4043
Phone number: 912-807-6625
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