Provider Demographics
NPI:1942212154
Name:BENFIELD, PAUL EUGENE (MA)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:EUGENE
Last Name:BENFIELD
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 PINYON CIR
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9489
Mailing Address - Country:US
Mailing Address - Phone:404-483-1966
Mailing Address - Fax:
Practice Address - Street 1:285 PINYON CIR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9489
Practice Address - Country:US
Practice Address - Phone:404-483-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA01387101YP2500X
NC6950101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional