# BENNETT MEDICAL CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053837104
- **Authorized official:** CATHERINE BENNETT APRN (OWNER)
- **Authorized official phone:** (843) 694-7728

## Contact information

- **Practice address:** 10876A N JACOB SMART BLVD, RIDGELAND, SC 29936-2707
- **Practice address phone:** (843) 694-7728
- **Mailing address:** 71 PINE RIDGE DR, BLUFFTON, SC 29910-7847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2017
- **Last updated:** 08/21/2017