Whalio Doctors

NPI 1194988006

Michelle Simone Bennett

Practitioner Nurse's Aide Stone Mountain, GA

Practice location

Address
6697 Pine Valley Trce, Stone Mountain, GA 30087-5819
Phone
(770) 498-5538

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence CN0028882430 (GA)

Registry record

NPI
1194988006
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2008
Record last updated
10 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.