Individual
BENTON MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 675-4000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6315
SC
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
01/23/2026
Last updated
04/13/2026
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