Individual provider · Type 1 NPI
Jacqueline Bennett, C.E.O
Medical Laboratory Technician · Fayetteville, GA
NPI number
1992597496
Active
Practice location
1139 Hwy 54 E Lanier Ave Suite J
Fayetteville, GA 30215
Fax (888) 666-1770
Mailing address
1545 N Expressway Unit 137
Griffin, GA 30223-1746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Laboratory Technician Primary | 246RM2200X | 9435480646JB (GA) |
Medical Laboratory Technician: Definition to come...
About NPI 1992597496
Jacqueline Bennett, C.E.O's National Provider Identifier is 1992597496, issued on May 20, 2025. The primary taxonomy on file is Medical Laboratory Technician (246RM2200X), and the practice location is in Fayetteville, GA. The record was last updated on May 20, 2025.