Individual
THOMAS BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 COVENT GARDEN DR, SUMTER, SC 29153-8715
(803) 972-3431
Mailing address
70 COLIN LEE RD, MAYESVILLE, SC 29104-8634
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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