Individual
BENJAMIN CARL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4461
(910) 449-8702
Mailing address
321 EXMOOR DR, JACKSONVILLE, NC 28540-8831
(910) 333-3445
(910) 449-8702
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
218252
NC
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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