Victoria Bennis PA-C

NPI 1013302892 - Physician Assistant - 363A00000X

NPI Details
NPI 1013302892
Gender Female
Enumeration Date 03/30/2015
Last Updated 03/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4734 LONG BEACH RD SE
SOUTHPORT NC, 28461-8721, US
Phone (910) 457-0070
Fax
Business Location
4734 LONG BEACH RD SE
SOUTHPORT NC, 28461-8721, US
Phone (910) 457-0070
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-05654
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According to our database, Victoria Bennis PA-C NPI is 1013302892, taxonomy code is 363A00000X and license number is 0010-05654, license state is located at North Carolina. Victoria Bennis PA-C physically located at 4734 Long Beach Rd Se, Southport NC, 28461-8721. NPI Number Victoria Bennis PA-C has the Individual type.

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1013302892 NPI number is provided on an as is basis without warranty of any kind. 1013302892 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Bennis PA-C are for informational purposes only.