Individual
DR. BENJAMIN WELTON WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S MAIN ST, KING, NC 27021-9011
(369) 832-5313
(336) 983-2532
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-01043
NC
390200000X
Student in an Organized Health Care Education/Training Program
135599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135599
TRAINING LICENSE NUMBER
NC
05
—
5912452
—
NC
Enumeration date
12/21/2007
Last updated
10/16/2023
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