Bennett, Casey Jo

Bennett, Casey Jo is an individual health care provider with primary practice located at 1948 Old Ocilla Rd , Tifton GA 31794-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bennett, Casey Jo can be contacted via phone (229) 391-3500.

Contact Information

Primary practice address
1948 Old Ocilla Rd Tifton GA 31794-1644
Phone: (229) 391-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN188746 Georgia

Profile Details

NPI number 1144680034
LBN Legal business name Bennett, Casey Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Mar 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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