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MS. ANNA VIRGINIA BENNETT CNM

>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1245218338

Individual Registrant:
MS. ANNA VIRGINIA BENNETT CNM
Gender: F

Location and contact information for practice:
1 MAGNOLIA CT ADCOCK CENTER MOULTRIE, GA 31768-6764 US
Tel: 229-891-2022  Fax: --

Contact information for business:
1243 US HIGHWAY 319 S  MOULTRIE, GA 31768-0565 US
Tel: 229-985-6738  Fax: --

Registration Information:
NPI: 1245218338
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
GARN144414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0000975268AGA05




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