Individual
EVAN BENJAMIN WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 FOREST DR STE B101, COLUMBIA, SC 29204-4146
(803) 764-2363
Mailing address
3628 DODGESON RD, ALEXANDER, NY 14005-9791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13519
SC
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
08/11/2026
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