Jacob Eric Bentley, CO, LO
Jacob Eric Bentley, CO, LO is an Orthotist in Hiram, Georgia. Licensed in Georgia. Registered with an NPI since 2008.
- Licensed in
- GA
- In the registry since
- 2008
Practice location Address checks out
127 Enterprise Path Ste 403Hiram, GA 30141-2697
Phone: (678) 384-1921
Fax: (678) 384-1922
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence 14 (GA) |
|---|
Record details
| NPI number | 1417127432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO , LO |
| Sole proprietor | No |
| NPI enumerated | March 5, 2008 |
| Last updated in NPPES | July 1, 2011 |