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Individual

EDWARD BENJAMIN PENN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615-6306
(864) 522-8603
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
51723
SC

Other

Enumeration date
12/19/2006
Last updated
08/18/2023
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