Individual
SUSAN BENESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203
(803) 256-6511
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19346
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4852
—
SC
Enumeration date
03/21/2015
Last updated
10/01/2019
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