Individual
ELIZABETH BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6324 FAIRVIEW RD, STE 200, CHARLOTTE, NC 28210-3271
(980) 302-9700
(980) 302-9730
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08769
NC
Other
Enumeration date
02/14/2011
Last updated
03/23/2023
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