Healthcare Provider Details

I. General information

NPI: 1427191667
Provider Name (Legal Business Name): CURRIN LOUISE BENDER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEDICAL CAMPUS DR NW STE 207
SUPPLY NC
28462-4094
US

IV. Provider business mailing address

695 S BENNETT ST
SOUTHERN PINES NC
28387-5919
US

V. Phone/Fax

Practice location:
  • Phone: 910-687-4888
  • Fax:
Mailing address:
  • Phone: 910-687-4888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number013063
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-03722
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0010-03722
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: