Individual
DR. BENJAMIN J. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
83076
SC
208D00000X
General Practice Physician
OS15182
FL
Other
Enumeration date
05/31/2016
Last updated
08/28/2024
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