Individual
DR. MICHAEL LYNN BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3347C AUGUSTA HWY, GILBERT, SC 29054-9268
(803) 356-2225
(803) 356-3458
Mailing address
3347C AUGUSTA HWY, GILBERT, SC 29054-9268
(803) 356-2225
(803) 356-3458
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC2411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH380
—
SC
Enumeration date
11/30/2005
Last updated
01/19/2010
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