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1558590042
JUSTIN BENNETT
WINSTON SALEM, NC
NPI
1558590042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2012-00983)
Enumeration Date
2009-07-06
Last Update Date
2012-10-04
Business Address
-- JUSTIN BENNETT M.D.
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-1896
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Mailing Address
-- JUSTIN BENNETT M.D.
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-1896
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