Healthcare Provider Details

I. General information

NPI: 1073620159
Provider Name (Legal Business Name): BENITA WILLIAMS VARNADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVELYN BENITA WILLIAMS MD

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E WENDOVER AVE STE 300
GREENSBORO NC
27401-1231
US

IV. Provider business mailing address

301 E WENDOVER AVE STE 300
GREENSBORO NC
27401-1231
US

V. Phone/Fax

Practice location:
  • Phone: 336-268-3380
  • Fax: 336-268-3381
Mailing address:
  • Phone: 336-268-3380
  • Fax: 336-268-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number200601191
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: