Individual
DR. BENJAMIN ELLISON PUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 POTATO BRANCH RD, LEICESTER, NC 28748-6606
(828) 378-0060
(828) 355-5642
Mailing address
PO BOX 1974, ASHEVILLE, NC 28802-1974
(828) 378-0060
(828) 355-5642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141AW
BC BS
—
01
—
183088
MED COST
—
05
—
5902196
—
NC
01
—
NC7757B476
MEDICARE PTAN
NC
Enumeration date
01/30/2006
Last updated
10/09/2012
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