Individual
CAMMY RENAE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1985 STARTOWN RD, SUITE 102, HICKORY, NC 28602-8307
(828) 327-4745
(828) 322-3569
Mailing address
PO BOX 890273, CHARLOTTE, NC 28289-0273
(828) 327-4745
(828) 322-3569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003-01203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140JC
BCBS
NC
Enumeration date
07/20/2006
Last updated
04/03/2015
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