Individual
MR. WILLIAM H BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
159 EXECUTIVE DR, SUITE C, DANVILLE, VA 24541-4160
(434) 792-0830
(434) 792-0468
Mailing address
159 EXECUTIVE DR, SUITE C, DANVILLE, VA 24541-4160
(434) 792-0830
(434) 792-0468
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001201
VA
Other
Enumeration date
04/24/2008
Last updated
03/24/2009
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