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Contact Information

NICOLE E BENTLEY
2382 WHEELESS RD
AUGUSTA, GA30906-5404
 Phone: 706-723-5949
 Fax: 706-723-5949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for NICOLE E BENTLEY · (Female)

NPI # 1962829234
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2014
Last updated 03/25/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PCH009053
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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