Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 201502484 | NC |
N | 2080N0001X | Neonatal-Perinatal Doctor | 201502484 | NC |
NPI | 1114291267 |
---|---|
Provider Name | Dr. Brian Christopher De Benedictis |
First Address | Asheville, NC 28803-1700 |
Second Address | Asheville, NC 28803-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 27/02/2017 |