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1790216505
BENJAMIN GREGORY CRISP
RALEIGH, NC
NPI
1790216505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2023-02063)
Additional Taxonomies
208600000X Surgery
(Licence: LA 332669)
Enumeration Date
2017-03-23
Last Update Date
2023-09-26
Business Address
BENJAMIN GREGORY CRISP MD
4207 LAKE BOONE TRL STE 210
RALEIGH, NC 27607-6685
Phone number: 919-784-7874
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Mailing Address
BENJAMIN GREGORY CRISP MD
4207 LAKE BOONE TRL STE 210
RALEIGH, NC 27607-6685
Phone number: 919-784-7874
Copy
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