Individual
MR. CHARLES ARCHIE BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
158 S MAIN ST, WOODSTOCK, VA 22664-1423
(540) 459-5335
(540) 459-5339
Mailing address
158 S MAIN ST, WOODSTOCK, VA 22664-1423
(540) 459-5335
(540) 459-5339
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
02619
MD
237700000X
Hearing Instrument Specialist
Primary
2101000640
VA
237700000X
Hearing Instrument Specialist
583
WV
Other
Enumeration date
12/22/2017
Last updated
03/17/2018
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