Individual
BENJAMIN MATTHEW PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1330
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
294115
NC
Other
Enumeration date
05/24/2019
Last updated
12/03/2021
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