Individual
ANGELA PAIGE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
200001098
NC
2085N0904X
Nuclear Radiology Physician
Primary
200001098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10005299
—
VA
01
—
1339U
BCBS
NC
05
—
1841917000
—
WV
01
—
7606737
AETNA
NC
01
—
802876
PARTNERS
NC
05
—
891339U
—
NC
01
—
C6266
MEDCOST
NC
05
—
Q98000
—
SC
Enumeration date
12/01/2005
Last updated
01/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us