Benevides, Colby Mangun

Benevides, Colby Mangun is an individual health care provider with primary practice located at 4414 Lake Boone Trail #308, Raleigh NC 27607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Benevides, Colby Mangun can be contacted via phone (919) 781-7450.

Contact Information

Primary practice address
4414 Lake Boone Trail #308 Raleigh NC 27607
Phone: (919) 781-7450
Fax: (919) 781-6355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101088 North Carolina

Profile Details

NPI number 1306813894
LBN Legal business name Benevides, Colby Mangun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306813894 NPPES
North Carolina MEDICAID 89131

Popular Providers