NPI 1821057779 · live from the CMS NPI Registry
Jeff A Benjamin, DO
Psychiatry & Neurology, Neurology in Myrtle Beach, SC. National Provider Identifier 1821057779, active.
NPI record
| NPI | 1821057779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 8170 Rourk St, Myrtle Beach, SC 29572 |
| Practice phone | 843-449-2336 |
| Mailing address | 8170 Rourk Street, Myrtle Beach, SC 29572 |
| Enumerated | March 20, 2006 |
| Last updated | October 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 0501 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.