Individual
DR. BENJAMIN J LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7182 WOODROW ST STE 200, IRMO, SC 29063-2958
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2832
(803) 749-1111
(803) 749-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11901
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
11901
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110187962
RAILROAD MEDICARE
SC
05
—
119017
—
SC
01
—
562124971
CHAMPUS/TRICARE
SC
Enumeration date
05/03/2006
Last updated
02/26/2024
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