Healthcare Provider Details

I. General information

NPI: 1073155131
Provider Name (Legal Business Name): CASSANDRA DAWN EICHLER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA DAWN BENDER PA

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2391 COURT DR STE 105
GASTONIA NC
28054-2197
US

IV. Provider business mailing address

PO BOX 744786
ATLANTA GA
30374-4786
US

V. Phone/Fax

Practice location:
  • Phone: 704-671-7390
  • Fax: 704-671-7396
Mailing address:
  • Phone: 704-834-2450
  • Fax: 704-671-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10002966A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-16342
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: