Individual
BENJAMIN R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2138 NC 42, CLAYTON, NC 27520
(919) 585-8000
Mailing address
7618 ALMADEN WAY, CARY, NC 27518-9276
(919) 368-0113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001009348
NC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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