Avery-Benjamin, Caudrean L.

Avery-Benjamin, Caudrean L. is an individual health care provider with primary practice located at 1918 Randolph Rd Suite 300, Charlotte NC 28207-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Avery-Benjamin, Caudrean L. can be contacted via phone (704) 377-5675.

Contact Information

Primary practice address
1918 Randolph Rd Suite 300 Charlotte NC 28207-1100
Phone: (704) 377-5675
Fax: (704) 335-8163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD430442 Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200800028 North Carolina

Profile Details

NPI number 1720144637
LBN Legal business name Avery-Benjamin, Caudrean L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720144637 NPPES
North Carolina MEDICAID 5910315
North Carolina Other 2008-00028

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