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Individual

DR. JOHN DEWITT BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
(919) 784-3362
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23829
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14984
BCBS
NC
05
8914984
NC
Enumeration date
03/01/2006
Last updated
04/17/2008
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