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Individual

DR. CHRISTIAN KEEN BENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
470-5 TOWN CENTER PLACE, VILLAGE AT SANDHILL, COLUMBIA, SC 29229
(803) 865-1211
(803) 865-1451
Mailing address
316 HAY HILL CT, ELGIN, SC 29045-8239
(803) 865-7763
(803) 865-1451

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1333
SC
152W00000X
Optometrist
3329/T179
OH

Other

Enumeration date
04/13/2006
Last updated
10/11/2007
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