Organization
PAA OUTPATIENT SERVICES CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G BENONIS MD (PRESIDENT)
(704) 749-5800
Entity
Organization
Contact information
Practice address
131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207-1235
(704) 749-5800
(704) 749-5800
Mailing address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3272
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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