Individual
MR. BENJAMIN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
225 MUNN RD E, FORT MILL, SC 29715-9497
(803) 548-1900
(803) 548-1911
Mailing address
1629 FOREST LAKE DR, ROCK HILL, SC 29732-9612
(803) 487-0011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
276
SC
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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