BENTLEY ELIZABETH KNOX MAIAVA PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1316578578- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 1205 US HIGHWAY 19 S, LEESBURG, GA, 317634878
- Phone
- (229) 759-7028
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: GA #RN249087