Organization
AXIS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ELLISON PUSSER D.O. (OWNER/PHYSICIAN)
(828) 378-0060
Entity
Organization
Contact information
Practice address
250 POTATO BRANCH RD, LEICESTER, NC 28748-6606
(828) 378-0060
Mailing address
PO BOX 1974, ASHEVILLE, NC 28802-1974
(828) 378-0060
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
200400401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B476
MEDICARE PTAN
NC
Enumeration date
07/02/2012
Last updated
10/09/2012
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