Sara Ruth Bennett, FNP-BC
Nurse Practitioner, Family in Atlanta, GA. Individual provider (NPI-1).
NPI number1104364173
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1104364173
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sara Ruth Bennett
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2017
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN165031 | GA | Yes |
| 363L00000X | Nurse Practitioner | RN165031 | GA | |
| 163WG0000X | Registered Nurse, General Practice | RN165031 | GA |
Practice location
865 N Highland Ave NeAtlanta, GA 30306-4565
Phone 404-733-6089
Mailing address
1975 Highway 54 W Ste 255Peachtree City, GA 30269-4794
Phone 770-487-2218 · Fax 678-788-6909
Other practice locations
4700 Waters Ave
Savannah, GA 31404-6220
Savannah, GA 31404-6220
Phone 912-350-6600 · Fax 912-350-8427
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