Individual
MR. BENNY ALLEN SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/BSN
Contact information
Practice address
524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 871-1045
(704) 873-6647
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
170715
NC
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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