NATHANIEL D BENNETT

SALEM, VA
NPI1427076637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110-001867)
Enumeration Date2006-07-17
Last Update Date2014-07-16
Business Address
-- NATHANIEL D BENNETT PAC
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
-- NATHANIEL D BENNETT PAC
3343 CLARA AVE SW
ROANOKE, VA 24018-1301
Phone number: 540-362-1594
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