Jeffrey Bennett LAT, ATC

NPI 1043581754 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1043581754
Gender Male
Enumeration Date 01/26/2012
Last Updated 01/26/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2826 RANDOLPH RD
CHARLOTTE NC, 28211-1386, US
Phone (704) 366-5521
Fax
Business Location
5068 GATES DR
DENVER NC, 28037-9636, US
Phone (704) 483-1662
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State South Carolina
License Number 1305
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According to our database, Mr. Jeffrey Bennett LAT, ATC NPI is 1043581754, taxonomy code is 2255A2300X and license number is 1305, license state is located at South Carolina. Jeffrey Bennett LAT, ATC physically located at 2826 Randolph Rd, Charlotte NC, 28211-1386. NPI Number Jeffrey Bennett LAT, ATC has the Individual type.

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1043581754 NPI number is provided on an as is basis without warranty of any kind. 1043581754 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Bennett LAT, ATC are for informational purposes only.