Organization
NORTH CAROLINA UROLOGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC BENEVIDES M.D. (PHYSICIAN)
(919) 851-5482
Entity
Organization
Contact information
Practice address
160 MACGREGOR PINES DR, SUITE 205, CARY, NC 27511-6036
(919) 851-5482
(919) 859-1729
Mailing address
160 MACGREGOR PINES DR, SUITE 205, CARY, NC 27511-6036
(919) 851-5482
(919) 859-1729
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
72007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118W
BCBSNC ID
NC
05
—
790118W
—
NC
Enumeration date
06/12/2006
Last updated
11/23/2010
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