-- Jerry L Bennett --
MD | Pediatrics | Male
-- Jerry L Bennett --, MD is a Winston Salem, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics. -- Jerry L Bennett -- is also known as
Jerry Lee Bennett.
Current practice location of -- Jerry L Bennett -- is
2808 Maplewood Ave, Winston Salem, North Carolina - 27103-4138. He can be contacted on phone at
336-765-9000 and fax number 336-765-5702.
-- Jerry L Bennett -- is a sole proprietor of his business.
NPI number (Unique professional ID) for -- Jerry L Bennett -- is
1750382321 which was assigned by NPPES on 09 Aug, 2005 and it was last updated on 07 Mar, 2023.
-- Jerry L Bennett -- license number is
15434 for Pediatrics (208000000X) in North Carolina.
-- Jerry L Bennett -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
-- Jerry L Bennett -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | -- Jerry L Bennett -- |
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| Other Name : | Jerry Lee Bennett |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
-- Jerry L Bennett -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2808 Maplewood Ave
Winston Salem, NC, 27103-4138
United States |
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| Phone Number : | 336-765-9000 |
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| Fax Number : | 336-765-5702 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750382321 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2005 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Jerry L Bennett -- are as mentioned. Primary taxonomy code for -- Jerry L Bennett --, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 15434 | NC |
Legacy Identifiers:
Other legacy medical identifiers of -- Jerry L Bennett -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| C82131 | MEDICARE UPIN | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2808 Maplewood Ave
Winston Salem, NC, 27103-4138
United States |
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| Phone Number : | 336-765-9000 |
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| Fax Number : | 336-765-5702 |
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Business Location:
Patients can refer following map for directions to
-- Jerry L Bennett -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.