Individual
BENJAMIN MEYER MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 310, GREENVILLE, SC 29605-4253
(864) 455-8300
(864) 455-8310
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
22386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223868
—
SC
01
—
P00294667
RR MEDICARE
SC
Enumeration date
06/05/2006
Last updated
01/31/2018
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