Individual
BARBARA A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-1800
(336) 277-9538
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100527
NC
Other
Enumeration date
06/06/2011
Last updated
06/16/2016
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