Individual
MR. BENJAMIN JOEL AMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5535 PLATT SPRINGS ROAD, LEXINGTON, SC 29073-7519
(803) 951-1880
(803) 951-0384
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21202
SC
Other
Enumeration date
07/23/2018
Last updated
10/08/2020
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