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Individual

BENJAMIN ELLIS RAWLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19830
SC
208M00000X
Hospitalist Physician
Primary
19830
SC
208M00000X
Hospitalist Physician
200100936
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129NT
BCBS
NC
05
198306
SC
05
89129NT
NC
01
P00280389
RAILROAD MEDICARE
NC
01
P01586733
MEDICARE RR PIN
SC
Enumeration date
07/13/2006
Last updated
10/09/2019
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