Individual
DR. BENJAMIN EVANS WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 ASHTON DRIVE, WILMINGTON, NC 28412-2486
(910) 794-8892
(910) 794-8895
Mailing address
PO BOX 4217, WILMINGTON, NC 28406-1217
(910) 794-8892
(910) 794-8895
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9700796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891073Q
—
NC
Enumeration date
07/25/2006
Last updated
08/19/2010
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