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Individual

STACEY HINKLE BENEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8222
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104156
WELLCARE OF SC
SC
01
1618J
BCBSNC
NC
01
30109275
SELECT HEALTH
SC
01
6536546
CIGNA
05
7413273
NC
01
772375
WELLCARE
SC
01
P01044535
RAILROAD MEDICARE PTAN
NC
05
SAN092
SC
Enumeration date
09/08/2008
Last updated
02/23/2015
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