# PAA OUTPATIENT SERVICES CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437749884
- **Authorized official:** DR. JAMES G BENONIS MD (PRESIDENT)
- **Authorized official phone:** (704) 749-5800

## Contact information

- **Practice address:** 131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1235
- **Practice address phone:** (704) 749-5800
- **Practice address fax:** (704) 749-5800
- **Mailing address:** 3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
- **Mailing address phone:** (704) 749-5800
- **Mailing address fax:** (704) 626-3272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 01/20/2021