John Benbow, | |
66 Lake Concord Rd Ne, Concord, NC 28025-3057 | |
(704) 403-7720 | |
Not Available |
Full Name | John Benbow |
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Gender | Male |
Speciality | Pediatrics |
Location | 66 Lake Concord Rd Ne, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265408207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 20524 (North Carolina) | Primary |
Entity Name | Charlotte Pediatric Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227 |
Mailing Address | Practice Location Address |
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John Benbow, 66 Lake Concord Rd Ne, Concord, NC 28025-3057 Ph: () - | John Benbow, 66 Lake Concord Rd Ne, Concord, NC 28025-3057 Ph: (704) 403-7720 |
Laura Mock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 66 Lake Concord Rd Ne, Cabarrus Pediatrics, Concord, NC 28025 Phone: 704-403-7720 Fax: 704-403-7730 | |
Amanda Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-373-0212 | |
Andrew Heling, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 | |
Laura Levin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1085 Ne Gateway Ct Ne, Suite 290, Concord, NC 28025 Phone: 704-403-4650 | |
Edgar Miles Leviste, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 | |
Rula Freiji, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 | |
Joel Lutterman, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 |