BENTLEY ELIZABETH KNOX MAIAVA

LEESBURG, GA
NPI1316578578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: GA  RN249087)
Enumeration Date2020-01-27
Last Update Date2024-06-09
Business Address
BENTLEY ELIZABETH KNOX MAIAVA PNP
1205 US HIGHWAY 19 S
LEESBURG, GA 31763-4878
Phone number: 229-759-7028
Mailing Address
BENTLEY ELIZABETH KNOX MAIAVA PNP
2210 HOLLY SPRINGS PKWY UNIT 1305
HOLLY SPRINGS, GA 30142-1760
Phone number: 770-990-7382