Individual
DAWN B. BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO,C.PED
Contact information
Practice address
218 LISBON ST, CLINTON, NC 28328-4115
(910) 299-0100
(910) 299-0101
Mailing address
PO BOX 250, WHITE OAK, NC 28399-0250
(910) 299-0100
(910) 299-0101
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795159
—
NC
Enumeration date
05/23/2007
Last updated
10/22/2008
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