Individual
K BENJAMIN RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT FRANCIS DR, SUITE 440, GREENVILLE, SC 29601-3971
(864) 255-1405
(717) 635-3803
Mailing address
3 SAINT FRANCIS DR, SUITE 440, GREENVILLE, SC 29601-3971
(864) 255-1405
(717) 635-3803
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6119
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6119
STATE LICENSE NUMBER
SC
Enumeration date
09/27/2006
Last updated
08/28/2012
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