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Individual

SCOTT KENNETH BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AG-ACNPC

Contact information

Practice address
9460 AMDERDALE DRIVE, SUITE E, NORTH CHESTERFIELD, VA 23236
(804) 533-0220
(804) 533-0230
Mailing address
PO BOX 402924, ATLANTA, GA 30384-2924
(804) 533-0220

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181457
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
0024181457
VA

Other

Enumeration date
08/30/2021
Last updated
10/28/2021
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