Individual
MR. BENJAMIN THOMAS HENNESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3114 CROASDAILE DR, DURHAM, NC 27705-2508
(919) 973-7540
(919) 286-6898
Mailing address
508 HARDSCRABBLE DR, HILLSBOROUGH, NC 27278-9767
(301) 318-6688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010--02477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102695
—
NC
Enumeration date
07/10/2007
Last updated
01/15/2026
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