Individual provider · Type 1 NPI

Dietrice Swain Bennett

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1225290372 Active

Practice location

2743 Jacanar Ln SW
Atlanta, GA 30331-8012

Call (404) 625-3924 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225290372

Dietrice Swain Bennett's National Provider Identifier is 1225290372, issued on Jun 30, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 30, 2008.