Individual
BENJAMIN T MITCHELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E JACKSON ST, DILLON, SC 29536-2509
(843) 487-1582
(843) 487-1585
Mailing address
301 E JACKSON ST, DILLON, SC 29536-2509
(843) 487-1582
(843) 487-1585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L15277
—
SC
Enumeration date
08/18/2006
Last updated
05/09/2019
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