COREY BENNETT

LAWRENCEVILLE, GA
NPI1669020665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
COREY BENNETT
2330 HIS WAY
LAWRENCEVILLE, GA 30044-2208
Phone number: 678-707-4358
Mailing Address
COREY BENNETT
2330 HIS WAY
LAWRENCEVILLE, GA 30044-2208
Phone number: