Individual provider · Type 1 NPI
Benjamin Tabiolo Ulep, MD
General Practice Physician · Waverly, VA
NPI number
1992923825
Active
Practice location
Sussex II State Prison, 24427 Musselwhite Dr
Waverly, VA 23891-0001
Fax (804) 834-2600
Mailing address
12705 Karlyn Ct
Chester, VA 23836-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0101840437 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1992923825
Benjamin Tabiolo Ulep, MD's National Provider Identifier is 1992923825, issued on Apr 23, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waverly, VA. The record was last updated on Jul 8, 2007.