Timmons, Benson Ellison Lane

Timmons, Benson Ellison Lane is an individual health care provider with primary practice located at 649 N New Hope Rd , Gastonia NC 28054-7424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Timmons, Benson Ellison Lane can be contacted via phone (704) 866-4005.

Contact Information

Primary practice address
649 N New Hope Rd Gastonia NC 28054-7424
Phone: (704) 866-4005
Fax: (704) 866-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 39341 North Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 39341 North Carolina

Profile Details

NPI number 1962404996
LBN Legal business name Timmons, Benson Ellison Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962404996 NPPES
Other 8354X BCBS
Other 2165882F BCBS
MEDICAID 898354X BCBS
Other 2165882G BCBS

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