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Individual

DR. BENJAMIN DAVID SUTKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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