Organization · Type 2 NPI

Grant D. Bennett

Durable Medical Equipment & Medical Supplies · Blackshear, GA

NPI number 1376700401 Active

Practice location

6223 Clark Rd.
Blackshear, GA 31516

Fax (912) 807-0212

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

NPI record

NPI: 1376700401
Entity type: Organization (Type 2)
Issued: May 16, 2008
Last updated: Apr 25, 2019
Status: Active

Other names

<unavail>
Bennett Mobility Products · former legal business name
Bennett Mobility Products · former legal business name

Authorized official

Grant D. Bennett
Owner/manager/technician
(912) 614-2269

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376700401

Grant D. Bennett's National Provider Identifier is 1376700401, issued on May 16, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Blackshear, GA. The record was last updated on Apr 25, 2019.