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Organization
SAMARITAN SPORTS MEDICINE PLLC
Active
Organization
SAMARITAN SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MARTIN PETTY MD (OWNER)
(919) 648-0618
Entity
Organization
Contact information
Practice address
8300 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615-3450
(919) 648-0618
Mailing address
8300 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615-3450
(919) 648-0618
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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