Provider Demographics
NPI:1225563463
Name:CHILCUTT, BENJAMIN MCGINTY (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:MCGINTY
Last Name:CHILCUTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1640 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7526
Mailing Address - Country:US
Mailing Address - Phone:662-312-4434
Mailing Address - Fax:
Practice Address - Street 1:300 MEADOWMONT VILLAGE CIR STE 104
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7518
Practice Address - Country:US
Practice Address - Phone:984-974-7244
Practice Address - Fax:984-974-2985
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2020-02284207RC0000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease