Individual
DR. BENNIE L JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1415
(252) 962-5300
(252) 962-5309
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
38988
NC
207Y00000X
Otolaryngology Physician
Primary
38988
NC
207YP0228X
Pediatric Otolaryngology Physician
38988
NC
207YS0012X
Sleep Medicine (Otolaryngology) Physician
38988
NC
207YX0602X
Otolaryngic Allergy Physician
38988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945851
—
NC
Enumeration date
06/23/2005
Last updated
10/16/2024
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