Individual
MR. LESLIE A BEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1229 ALICE DRIVE, SUMTER, SC 29150
(803) 905-2273
(803) 905-7775
Mailing address
1229 ALICE DRIVE, SUMTER, SC 29150
(803) 905-2273
(803) 905-7775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPA974
—
SC
Enumeration date
09/06/2005
Last updated
04/18/2025
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