Individual
BENJAMIN D MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 LAUREL ST, SUITE 201, COLUMBIA, SC 29204-2038
(803) 256-8539
(803) 255-0018
Mailing address
2750 LAUREL ST, SUITE 201, COLUMBIA, SC 29204-2038
(803) 799-2219
(803) 256-8539
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570989103
TAX IDENTIFICATION NUMBER
SC
Enumeration date
05/01/2006
Last updated
12/10/2010
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