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Individual

MR. WILLIAM THOMAS BENESKY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
(919) 232-5021
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02515
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-02515
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255408498
NC
Enumeration date
11/30/2006
Last updated
02/15/2021
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