Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE BENNETT, C.E.O
ActiveJACQUELINE BENNETT, C.E.O is a Medical Laboratory Technician healthcare provider located in FAYETTEVILLE, Georgia. NPI 1992597496 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1992597496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2025 (1.2596236820125 yrs)
- Last Updated
- May 20, 2025
- License
-
9435480646JB (GA)
Practice Information
- Address
-
1139 HWY 54 E LANIER AVE SUITE JFAYETTEVILLE, GA, 30215Browse GA providers · Browse ZIP 30215
- Phone
- 4703027769
- Fax
- 8886661770
- Primary Specialty
-
Medical Laboratory Technician
246RM2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.