Individual
BENJAMIN L JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 CRAPE MYRTLE DR STE 104, BENSON, NC 27504-8034
(877) 935-5255
Mailing address
70 CRAPE MYRTLE DR STE 104, BENSON, NC 27504-8034
(877) 935-5255
(910) 236-2118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT7943
TX
363A00000X
Physician Assistant
Primary
0010-14498
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/15/2017
Last updated
03/26/2026
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