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Individual

MS. CARL BENJAMIN KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1606 DOMINION DR, COLUMBIA, SC 29209-5206
(803) 783-9557

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3893
SC

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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