Individual
MRS. WENDY DAWN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 17TH COURT NE, FAYETTE, AL 35555
(205) 932-3900
(205) 932-3941
Mailing address
122 17TH COURT NE, FAYETTE, AL 35555
(205) 932-3900
(205) 932-3941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-079781
AL
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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