Individual
BENJAMIN JACOB PAULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-8004
(803) 765-9215
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.2759
SC
363AS0400X
Surgical Physician Assistant
2759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3035PA
—
SC
Enumeration date
06/21/2017
Last updated
01/15/2024
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