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Individual

JAMES R. BENNETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5220 OLEANDER DR FL 2, ATTN: CRENDENTIALING, WILMINGTON, NC 28403-7021
(910) 395-8333
(910) 395-8473
Mailing address
5220 OLEANDER DR FL 2, ATTN: CRENDENTIALING, WILMINGTON, NC 28403-7021
(910) 395-8333
(910) 395-8473

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01244
NC

Other

Enumeration date
02/26/2008
Last updated
01/26/2017
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