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Nathaniel D Bennett, PAC
Medical Physician Assistant in Salem, Virginia
NPI 1427076637

Nathaniel D Bennett is a Medical Physician Assistant based in Roanoke, VA and is specialized in Medical. Nathaniel D Bennett practices in Salem, VA and has the professional credentials of PAC. The NPI Number for Nathaniel D Bennett is 1427076637 and holds a License No. 0110-001867 (Virginia).

The current practice location address for Nathaniel D Bennett is 1970 Roanoke Blvd, Salem, VA and can be reached out via phone at 540-982-2463.

Location: 1970 Roanoke Blvd, Salem, VA, 24018-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427076637
Provider Name
Nathaniel D Bennett
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1970 Roanoke Blvd, Salem, VA, 24018-1301
Phone Number
540-982-2463
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010116309 05 VA
institution
Provider Business Practice Location Address Details
Address
1970 Roanoke Blvd
City
Salem
State
Virginia
Zip
24153-6404
Phone Number
540-982-2463
Fax Number
person
Provider Business Mailing Address Details
Address
1970 Roanoke Blvd
City
Salem
State
Virginia
Zip
24153-6404
Phone Number
540-982-2463
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0110-001867 (Virginia)
Definition
Definition to come...
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