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1275639692
BRIAN NATHAN BENNETT
AUGUSTA, GA
NPI
1275639692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: GA POD000842)
Enumeration Date
2006-09-15
Last Update Date
2019-06-17
Business Address
BRIAN NATHAN BENNETT D.P.M.
1416 WAINBROOK DR
AUGUSTA, GA 30909-6289
Phone number: 706-312-3668
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Mailing Address
BRIAN NATHAN BENNETT D.P.M.
1416 WAINBROOK DR
AUGUSTA, GA 30909-6289
Phone number: 706-312-3668
Copy
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