Individual
RALPH L BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1022 SHELTON AVE, STATESVILLE, NC 28677-6826
(704) 768-2080
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15000
BCBSNC
NC
05
—
8915000
—
NC
Enumeration date
08/18/2005
Last updated
10/16/2019
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