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Individual

DR. BENJAMIN SCOTT FRIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12230 ASHEVILLE HWY, INMAN, SC 29349-1845
(864) 472-2144
(864) 472-4696
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101255469
VA
207Q00000X
Family Medicine Physician
Primary
52700
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
527004
SC
01
SCF2185121
MEDICARE PIN
SC
01
SCF2185213
MEDICARE PIN
SC
01
SCF2186067
MEDICARE PIN
SC
01
SCF2186084
MEDICARE PIN
SC
01
SCF218J577
MEDICARE PIN
SC
Enumeration date
06/04/2012
Last updated
09/10/2021
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