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Individual

BENJAMIN P LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
319 HOSPITAL DR, SUITE 102, MARTINSVILLE, VA 24112-1929
(276) 634-4976
(276) 634-1942
Mailing address
319 HOSPITAL DRIVE, SUITE 102, MARTINSVILLE, VA 24112
(276) 634-4976
(276) 634-1942

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101058000
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932167376
VA
Enumeration date
05/03/2006
Last updated
06/21/2011
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