Individual
DR. BENJAMIN DAVID SUTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S SUTTON RD, STE 101, FORT MILL, SC 29715
(803) 328-6306
(803) 909-6451
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
30490
SC
207XS0106X
Orthopaedic Hand Surgery Physician
052639
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
30490
SC
207XS0106X
Orthopaedic Hand Surgery Physician
9701164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730048
NSC
SC
05
—
143076031A
—
GA
05
—
304904
—
SC
Enumeration date
02/09/2006
Last updated
10/13/2023
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