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NPI Code Detail

MEDICARE: CLAUDIA MAE BENNETT

MEDICARE: CLAUDIA MAE BENNETT
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
1176B00000XMidwife

General Provider Information

NPI Number : 1699421271
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA MAE BENNETT
Provider Business Mailing Address
First Line : 1543 MCPHERSON AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-1757
Country : US
Telephone Number : 770-361-9534
Fax Number :
Provider Business Practice Location Address
First Line : 5780 PEACHTREE DUNWOODY RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1554
Country : US
Telephone Number : 404-255-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2022
Last Update Date : 02/23/2022

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Directions to “ CLAUDIA MAE BENNETT ” Practice Location

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