Organization
BENNETT MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BENNETT APRN (OWNER)
(843) 694-7728
Entity
Organization
Contact information
Practice address
10876A N JACOB SMART BLVD, RIDGELAND, SC 29936-2707
(843) 694-7728
Mailing address
71 PINE RIDGE DR, BLUFFTON, SC 29910-7847
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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