Individual
BENJAMIN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, LAT, ATC
Contact information
Practice address
327 MOCKSVILLE AVE, SALISBURY, NC 28144-3327
(704) 210-0500
Mailing address
2992 HALLIE BURNETTE RD, OXFORD, NC 27565-9597
(252) 431-4062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
0010-13435
NC
363AS0400X
Surgical Physician Assistant
0010-13435
NC
Other
Enumeration date
06/27/2018
Last updated
08/14/2023
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