Individual
ABIGAIL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 859-3373
Mailing address
5628 YATES GARDEN LN, RALEIGH, NC 27606-4010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT5646
TX
2255A2300X
Athletic Trainer
LAT-2808
NC
363A00000X
Physician Assistant
Primary
0010-13845
NC
Other
Enumeration date
01/03/2015
Last updated
01/02/2025
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