Individual
CAYMEN J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 CARAWAY CT, GREENSBORO, NC 27406-7307
(336) 588-6319
Mailing address
1011 CARAWAY CT, GREENSBORO, NC 27406-7307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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