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Contact Information

CALANDRA J BENNETT
5950 CROOKED CREEK RD STE 170K
PEACHTREE CORNERS, GA30092-2406
 Phone: 740-561-3041
 Fax: 888-505-6039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CALANDRA J BENNETT · (Female)

NPI # 1902462922
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2019
Last updated 02/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PC010937
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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