Individual
MR. BENJAMIN JOSEPH HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 FOUNTAINVIEW TER, GREENVILLE, SC 29607-4060
(864) 528-5501
Mailing address
10 FOUNTAINVIEW TER, GREENVILLE, SC 29607-4060
(864) 528-5501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2844
SC
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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