Individual
GARY T BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1766 CONNELLY SPRINGS RD, LENOIR, NC 28645-7827
(828) 728-8224
(828) 728-1690
Mailing address
1766 CONNELLY SPRINGS RD, LENOIR, NC 28645-7827
(828) 728-8224
(828) 728-1690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9501491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14861
BCBS
NC
05
—
1972543817
—
NC
05
—
8914861
—
NC
Enumeration date
06/08/2006
Last updated
04/17/2018
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