MRS. ANGELA ANNETT BENNETT


Address: 716 Fancy Bluff Rd, Brunswick, GA 31523-6321
Phone: 9122640660

MRS. ANGELA ANNETT BENNETT (NPI# 1144525098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144525098
Entity Type Individual
Full Name MRS. ANGELA ANNETT BENNETT
Other Name MRS. ANGELA ANNETT WILSON
Credential ANGELA BENNETT
Practice Address 716 Fancy Bluff Rd
Brunswick
GA 31523-6321
Practice Telephone 9122640660
Practice Fax Number 9122652490
Mailing Telephone 9122640660
Mailing Fax Number 9122652490
Enumeration Date 2011-01-24
Last Update Date 2011-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0 GA Behavioral Health & Social Service Providers

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1720292527 Angela Anita Bennett Licensed Vocational Nurse 4040 Selfridge Pkwy, Highland Hills, OH 44122-7021 2007-05-10
1861495236 Angela M Bennett Family Medicine 11201 Shaker Blvd, Suite 102a, Cleveland, OH 44104 2005-05-31
1770146136 Angela Bennett Counselor 3040 Holcomb Bridge Rd, Norcross, GA 30071-1377 2019-04-20
1083152367 Angela Bennett Pediatrics 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 2017-02-07
1699129726 Angela Bennett Physical Therapy Assistant 14809 W 95th St, Lenexa, KS 66215-5220 2016-04-14
1003255027 Angela Lilly Bennett Speech-Language Pathologist 700b Cromwell Dr, Greenville, NC 27858-5852 2013-06-24

Office Location

Street Address 716 FANCY BLUFF RD
City BRUNSWICK
State GA
Zip Code 31523-6321

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154813012 Curtis Lee Crews Jr. Case Manager/Care Coordinator 38 Crabapple Ln, Brunswick, GA 31523 2018-06-05
1841267606 Michael C Pinell Emergency Medicine 60 Cinema Lane, Suite 250, Saint Simons Island, GA 31523 2006-03-01
1902093057 J.h. Harvey Co., LLC Durable Medical Equipment & Medical Supplies 284 Hyde Park Commons, Brunswick, GA 31523-0000 2007-10-02
1831121870 Freds Stores of Tennessee Inc Pharmacy 5485 New Jesup Hwy, Brunswick, GA 31523-1119 2006-07-07
1780853176 Courtney Alyn Jonda Pharmacist 5421 New Jesup Hwy, Brunswick, GA 31523-1119 2008-02-29
1407231699 A Royal Fresh Start & Associates Inc. Counselor 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 2015-07-29
1851494512 Georgia Cvs Pharmacy LLC Pharmacy 5421 New Jesup Hwy, Brunswick, GA 31523-1137 2006-09-07
1669812574 Paladin Sleep Services LLC Clinic/Center 167 Highland Park Cir, Brunswick, GA 31523-1161 2013-06-25
1356778211 Ergent Med-1 LLC Clinic/Center 5248 New Jesup Hwy, Brunswick, GA 31523-1211 2013-10-08
1134690555 Gabrel Matthew Crabb Nurse Practitioner 5248 New Jesup Hwy, Brunswick, GA 31523-1211 2018-12-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720611890 Elizabeth Hanley Counselor 6 Federal St Ofc G, Brunswick, ME 04011-1508 2020-02-18
1477070142 Miranda Jo Villard Counselor 1839 Pearl Rd Ste 101, Brunswick, OH 44212-3256 2017-08-24
1730530320 Guy Peffer Counselor 100 Cayman Ct, Brunswick, GA 31525-4526 2016-06-25
1477941201 Virginia Leigh Shannon Counselor 119 Mckeen St, Brunswick, ME 04011-2909 2015-01-01
1861896771 Elizabeth M Munsey Counselor 6 Pond Dr, Brunswick, ME 04011-9469 2014-10-21
1174876668 Sandra J. Qualey Counselor 70 Hennessey Ave, Brunswick, ME 04011-2837 2012-10-21
1952692212 Debra Vias Counselor 45 E F St, Brunswick, MD 21716-1449 2011-04-21
1790081230 Jane A. Whetstine Counselor 103 Harpswell Rd, Brunswick, ME 04011-7842 2011-02-01
1538475207 James M Talbott Counselor 76 Pleasant St, Brunswick, ME 04011-2203 2010-08-19
1174763916 Amber Gross Counselor 136 Maine St Ste 6, Brunswick, ME 04011-2071 2009-03-05
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Competitor

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City BRUNSWICK
Zip Code 31523

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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