# BENJAMIN E DUNLAP MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679574818
- **Authorized official:** BENJAMIN E DUNLAP MD (MD)
- **Authorized official phone:** (704) 872-7636

## Contact information

- **Practice address:** 925 THOMAS ST, FAMILY PRACTICS, STATESVILLE, NC 28677-3484
- **Practice address phone:** (704) 872-7636
- **Practice address fax:** (704) 872-7750
- **Mailing address:** 925 THOMAS ST, FAMILY PRACTICS, STATESVILLE, NC 28677-3484
- **Mailing address phone:** (704) 872-7636
- **Mailing address fax:** (704) 872-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13789 | NC | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 11/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8929417 | — | NC |
