Healthcare Provider Details

I. General information

NPI: 1306625918
Provider Name (Legal Business Name): BENJAMIN MAGEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 LLOYD ST
CARRBORO NC
27510-1823
US

IV. Provider business mailing address

301 LLOYD ST
CARRBORO NC
27510-1823
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8741
  • Fax: 919-942-1473
Mailing address:
  • Phone: 919-942-8741
  • Fax: 919-942-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA66305
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number001015361
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: