Individual
DR. JENNIFER MILLICENT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
134969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162EK
BCBS
NC
05
—
5917426
—
NC
Enumeration date
07/13/2007
Last updated
01/31/2024
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