Individual
BEN W HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08284
NC
363A00000X
Physician Assistant
085002934
IL
363A00000X
Physician Assistant
Primary
2943
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7215059
BCBS PPO
IL
01
—
P00841538
RRMCARE THRU CES
IL
Enumeration date
03/06/2007
Last updated
08/30/2018
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