Individual
BENJAMIN E DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
925 THOMAS ST, C, STATESVILLE, NC 28677-3484
(704) 872-7636
(704) 872-7550
Mailing address
925 THOMAS ST, C, STATESVILLE, NC 28677-3484
(704) 872-7636
(704) 872-7550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8929417
—
NC
Enumeration date
11/28/2007
Last updated
11/28/2007
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