Individual
TIMOTHY C BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.C
Contact information
Practice address
3901 RIVERS AVE, N CHARLESTON, SC 29405-7042
(843) 744-6501
(843) 747-6858
Mailing address
3901 RIVERS AVE, N CHARLESTON, SC 29405-7042
(843) 744-6501
(843) 747-6858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1372
SC
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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