CASEY JO BENNETT

COLQUITT REGIONAL OB/GYN, LLC

Dr CASEY JO BENNETT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

COLQUITT REGIONAL OB/GYN, LLC

4 LIVE OAK CT
MOULTRIE
GA
317686783

Tel: 2295029788

CASEY JO BENNETT Information

Npi 1144680034
Pac Id 8628362068
Professional Enrollment Id I20160809000682
Last Name BENNETT
First Name CASEY
Middle Name JO
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COLQUITT REGIONAL OB/GYN, LLC
Group Practice Pac Id 3577726470
Number Of Group Practice Members 6
Line 1 Street Address 4 LIVE OAK CT
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MOULTRIE
State GA
Zip Code 317686783
Phone Number 2295029788
Hospital Affiliation Ccn 1 110209
Hospital Affiliation Lbn 1 TURNING POINT HOSPITAL
Hospital Affiliation Ccn 2 110105
Hospital Affiliation Lbn 2 COLQUITT REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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