Individual
BENJAMIN GREGORY CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4207 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-6685
(919) 784-7874
(919) 784-2708
Mailing address
4207 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-6685
(919) 784-7874
(919) 784-2708
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023-02063
NC
208600000X
Surgery Physician
332669
LA
Other
Enumeration date
03/23/2017
Last updated
09/26/2023
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