Individual
SCOTT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT. ATC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-7529
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 451-7529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1711
NC
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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