Individual
TAMMY BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 COVENT GARDEN DR, SUMTER, SC 29153-8715
(803) 847-8012
Mailing address
1310 COVENT GARDEN DR, SUMTER, SC 29153-8715
(803) 847-8012
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
SC
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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