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NPI 1669020665

IndividualActive

Corey Bennett

NPI 1669020665 · Attendant Care Provider · Lawrenceville, GA

Provider details

NPI number: 1669020665
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Practice location

2330 His Way

Lawrenceville, GA 30044-2208

Phone: (678) 707-4358

More GA providers

Mailing address

2330 His Way

Lawrenceville, GA 30044-2208

Registry dates

Enumerated: 2019-09-03
Last updated: 2019-09-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Corey Bennett — NPI 1669020665, Lawrenceville, GA | NPI Central