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Individual

ADAM J BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2406 BLUE RIDGE RD STE 280, RALEIGH, NC 27607-6680
(919) 876-2427
(919) 256-2506
Mailing address
3320 EXECUTIVE DR STE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 850-9234

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD469802
PA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
2021-00712
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/07/2016
Last updated
07/26/2021
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