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NPI Code Detail

MEDICARE: DR. JOHN DEWITT BENSON MD

MEDICARE: DR. JOHN DEWITT BENSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician23829NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114984OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952378846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DEWITT BENSON MD
Provider Business Mailing Address
First Line : PO BOX 100559
Second Line :
City : FLORENCE
State : SC
Zip : 29501-0559
Country : US
Telephone Number : 843-664-4300
Fax Number : 843-664-4308
Provider Business Practice Location Address
First Line : 4440 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-3100
Fax Number : 919-784-3362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 04/17/2008

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