NPI 1942003363
Jeremy Dwayne Bennett
Practice location
- Address
- 1027 Frederick St, Bluefield, WV 24701-3942
- Phone
- (304) 327-5305
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1942003363
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Mar 2025
- Record last updated
- 31 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.