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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENICIA ELAINE CLEVELAND, MED, LAT, ATC

Active Sole Proprietor

Athletic Trainer · WINSTON-SALEM, NC

Registration Details

NPI Number
1629212501
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2009 (17.034077462331 yrs)
Last Updated
Sep 13, 2011
License
1231 (NC)
Sole Proprietor
Yes

Practice Information

Address
1250 S MARTIN LUTHER KING JR. DRIVE
WINSTON-SALEM STATE UNIVERSITY
WINSTON-SALEM, NC, 27107
Browse NC providers · Browse ZIP 27107
Phone
3367502597
Fax
3367508880
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WINSTON-SALEM, NC

Name Credential NPI
MR. JOSHUA HOWARD FALLIN LAT, ATC 1023006608
BRIDGET SULLIVAN ATC 1003345554
RACHEL LAUREN BOWDEN MS, LAT, ATC 1629592308
MISS KATHERINE NICOLE NOAKES LAT, ATC 1508373903
LAURA ANTONELLI 1710505300
DON FRANKLIN STEELMAN ATC 1750053336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.