Jacqueline Bennett, CEO
Jacqueline Bennett, CEO is a Medical Laboratory Technician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2025.
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
1139 Hwy 54 E Lanier Ave Ste JFayetteville, GA 30215
Phone: (470) 302-7769
Fax: (888) 666-1770
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Specialties & licences
| Medical Laboratory Technician (primary) | Taxonomy 246RM2200X · Licence 9435480646JB (GA) |
|---|
Record details
| NPI number | 1992597496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CEO |
| Sole proprietor | No |
| NPI enumerated | May 20, 2025 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 11, 2025 |
| Mailing address | 1545 N Expressway Unit 137, Griffin, GA 30223-1746 |
Other providers in Fayetteville
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Blessed Hands Mobile Lab
320 Lanier Ave W Ste 200, Fayetteville, GA 30214-7443 · (678) 696-7896