Bennett Medical Clinic, LLC

NPI #1053837104 in Ridgeland, South Carolina

Provider Information

NPI Number: 1053837104
Entity Type: Organization
Organization Name: Bennett Medical Clinic, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 21, 2017
Last Updated: Aug 21, 2017

Practice Location

Address: 10876A N JACOB SMART BLVD
City: Ridgeland
State: South Carolina
ZIP Code: 29936-2707
Phone: (843) 694-7728

Authorized Official

Name: CATHERINE BENNETT, APRN
Title: OWNER
Phone: (843) 694-7728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Clinic/Center	261Q00000X	Primary

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