Individual
DR. BENJAMIN RAYMOND PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
194 DOCTORS DR, BOONE, NC 28607
(828) 386-2663
Mailing address
194 DOCTORS DR, BOONE, NC 28607-5000
(828) 386-2663
(828) 386-2664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FP6094560
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2016-00970
NC
390200000X
Student in an Organized Health Care Education/Training Program
173014
NC
Other
Enumeration date
06/01/2011
Last updated
08/28/2018
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