Dr. Ben C Pendarvis JR.
Pediatrician
940 Holly St Ne
Orangeburg
, South Carolina 29115-4930
Dr. Ben C Pendarvis JR.
Pediatrician
940 Holly St Ne
Orangeburg
, South Carolina 29115-4930
(803) 534-1441
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Ben C Pendarvis JR.
- 940 Holly St Ne
- Orangeburg, SC
- Zip : 29115-4930
- Fax : (803) 534-1441
- Phone : (803) 536-2725
Second Address
- Dr. Ben C Pendarvis JR.
- 940 Holly St Ne
- Orangeburg, SC
- Zip : 29115-4930
- Fax : (803) 534-1441
- Phone : (803) 536-2725
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Is Dr. Ben C Pendarvis JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 5230 | SC |
National Provider Identifier
| NPI | 1003815309 |
|---|---|
| Provider Name | Dr. Ben C Pendarvis JR. |
| First Address | Orangeburg, SC 29115-4930 |
| Second Address | Orangeburg, SC 29115-4930 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B91901 | (02) | SC |
| GP0966 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.