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Organization
PALMETTO CARDIOVASCULAR AND THORACIC ASSOC PA
Active
Organization
PALMETTO CARDIOVASCULAR AND THORACIC ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL BENNER MD (PRESIDENT THORACIC SURGEON)
(843) 553-5616
Entity
Organization
Contact information
Practice address
9231 MEDICAL PLAZA DR STE D, CHARLESTON, SC 29406-9101
(843) 553-5616
(843) 764-2917
Mailing address
9231 MEDICAL PLAZA DR STE D, CHARLESTON, SC 29406-9101
(843) 553-5616
(843) 764-2917
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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