Individual
DR. VERONICA ANTOINETTE BRENTJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 VIRGINIA RD # B, EDENTON, NC 27932-9667
(252) 752-4124
(252) 758-8954
Mailing address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
(252) 758-8954
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9600825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093C
BLUE CROSS BLUE SHIELD NC
NC
01
—
84094
MEDCOST NC
NC
05
—
891093C
—
NC
Enumeration date
08/07/2006
Last updated
01/24/2008
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