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Individual

DR. BENJAMIN JULY BITTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9403 HIGHWAY 707 STE C, MYRTLE BEACH, SC 29588-7758
(843) 443-6000
Mailing address
341 PALMETTO GLEN DR, MYRTLE BEACH, SC 29588-6396
(843) 748-0038

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1455
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA9536
SC
Enumeration date
04/20/2007
Last updated
06/26/2019
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