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1164957577
KATIE JETER BENNETT
CHARLOTTE, NC
NPI
1164957577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2022-01491)
Enumeration Date
2017-04-23
Last Update Date
2023-05-04
Business Address
KATIE JETER BENNETT MD
1021 MOREHEAD MEDICAL DR STE A
CHARLOTTE, NC 28204-2990
Phone number: 980-442-2000
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Mailing Address
KATIE JETER BENNETT MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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