Individual
MARC ROBERT BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5 MEDICAL PARK DR, COLUMBIA, SC 29203
(803) 434-3294
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211511
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186445
VA
367500000X
Certified Registered Nurse Anesthetist
18289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2297
—
SC
Enumeration date
02/18/2013
Last updated
06/06/2024
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