Individual
JEFFREY A BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 316-4000
Mailing address
13726 MOREHOUSE ST, HUNTERSVILLE, NC 28078-3295
(704) 466-4636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6738
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
10/07/2021
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