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NPI Code Detail

MEDICARE: VALERIE BENN

MEDICARE: VALERIE BENN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374700000XTechnician

General Provider Information

NPI Number : 1316758543
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE BENN
Provider Business Mailing Address
First Line : 122 W FORSYTH ST
Second Line :
City : AMERICUS
State : GA
Zip : 31709-3561
Country : US
Telephone Number : 229-591-4000
Fax Number :
Provider Business Practice Location Address
First Line : 701 JACKSON AVE
Second Line :
City : AMERICUS
State : GA
Zip : 31709-4174
Country : US
Telephone Number : 229-591-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2025
Last Update Date : 01/16/2025

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Directions to “ VALERIE BENN ” Practice Location

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