Individual
CRAIG RANDALL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1914 W PARK DR, N WILKESBORO, NC 28659-3563
(336) 667-5039
(336) 667-5719
Mailing address
1914 W PARK DR, N WILKESBORO, NC 28659-3563
(336) 667-5039
(336) 667-5719
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29723
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1372221NORT
UMWA
NC
05
—
8914864
—
NC
Enumeration date
06/28/2006
Last updated
10/24/2007
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