Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 0101272378 | VA |
NPI | 1174057285 |
---|---|
Provider Name | Benjamin Francis Ferry |
First Address | Lynchburg, VA 24502-2101 |
Second Address | Lynchburg, VA 24502-2101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 13/07/2021 |