Organization
ALBERMARLE SURGICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ALLEN MD (PRESIDENT)
(704) 982-0161
Entity
Organization
Contact information
Practice address
311 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 982-0161
Mailing address
PO BOX 1398, ALBEMARLE, NC 28002-1398
(704) 982-0161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01031
BCBSNC
NC
05
—
8901031
—
NC
Enumeration date
06/01/2006
Last updated
08/22/2020
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