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1932620598
LILA LEANNE BENNETT
MOULTRIE, GA
NPI
1932620598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN227925)
Enumeration Date
2017-07-03
Last Update Date
2017-10-31
Business Address
Mrs. LILA LEANNE BENNETT FNP-C
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-890-3514
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Mailing Address
Mrs. LILA LEANNE BENNETT FNP-C
PO BOX 934
MOULTRIE, GA 31776-0934
Phone number: 229-890-3514
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CONVENIENT CARE, LLC