# GEORGE RUFFIN BENTON III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558459933
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18605 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-70389 | UNITED HEALTHCARE | NC |
| 01 | — | 0637660001 | PALMETTO GOVERNMENT SERVI | NC |
| 01 | — | 110012027 | RAILROAD MEDICARE | NC |
| 01 | — | 15071 | BLUE CROSS BLUE SHIELD | NC |
| 01 | — | 561852981E | CIGNA | NC |
| 05 | — | 8915071 | — | NC |