Bennett, Jerry L
Bennett, Jerry L is an individual health care provider with primary practice located at 2808 Maplewood Ave , Winston Salem NC 27103-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennett, Jerry L can be contacted via phone (336) 765-9000.Contact Information
Primary practice address
2808 Maplewood Ave
Winston Salem NC 27103-4138
Phone: (336) 765-9000
Fax: (336) 765-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15434 | North Carolina |
Profile Details
| NPI number | 1750382321 |
|---|---|
| LBN Legal business name | Bennett, Jerry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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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