NPI 1366427841 · live from the CMS NPI Registry
Jon Michael Bennett, DO
Anesthesiology in Myrtle Beach, SC. National Provider Identifier 1366427841, active.
NPI record
| NPI | 1366427841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 7900 N Kings Hwy, Myrtle Beach, SC 29572 |
| Practice phone | 843-449-3381 |
| Enumerated | December 7, 2005 |
| Last updated | October 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 37755 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.