Individual
COLBY MANGUN BENEVIDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRAIL, #308, RALEIGH, NC 27607
(919) 781-7450
(919) 781-6355
Mailing address
4414 LAKE BOONE TRAIL, RALEIGH, NC 27607
(919) 781-7450
(919) 781-6355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131
—
NC
Enumeration date
03/02/2006
Last updated
07/08/2007
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