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Edward Benjamin Penn JR.

Pediatric Otolaryngology

200 Patewood Dr Ste B400
Greenville , South Carolina 29615-6306

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Image

Edward Benjamin Penn JR.

Pediatric Otolaryngology

200 Patewood Dr Ste B400
Greenville , South Carolina 29615-6306

(864) 797-6303

Write a Review Save Call

Edward Benjamin Penn JR.

Pediatric Otolaryngology

200 Patewood Dr Ste B400
Greenville , South Carolina 29615-6306

(864) 797-6303 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Otolaryngology

Languages spoken

  • English

Location

200 Patewood Dr Ste B400 Greenville , South Carolina 29615-6306

First Address

  • Edward Benjamin Penn JR.
  • 1 Independence Pt Ste 212
  • Greenville, SC
  • Zip : 29615-4536
  • Phone : (864) 797-6303

Second Address

  • Edward Benjamin Penn JR.
  • 200 Patewood Dr Ste B400
  • Greenville, SC
  • Zip : 29615-6306
  • Fax : (864) 241-9232
  • Phone : (864) 454-4368

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FAQs


Where did Edward Benjamin Penn JR. attend graduate school?

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Where did Edward Benjamin Penn JR. do his residency?

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Where did Edward Benjamin Penn JR. do his fellowship?

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Is Edward Benjamin Penn JR. board certified?

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What type of doctor is Edward Benjamin Penn JR.

Pediatric Otolaryngology

In what state does Edward Benjamin Penn JR. practice in?

South Carolina

Where is Edward Benjamin Penn JR.’s practice located?

200 Patewood Dr Ste B400 , Greenville, South Carolina, 29615-6306

What is Edward Benjamin Penn JR.’s gender?

Male

Is Edward Benjamin Penn JR. a sole practitioner?

No

Is Edward Benjamin Penn JR. accepting new patients?

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What languages does Edward Benjamin Penn JR. speak?

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Does Edward Benjamin Penn JR. accept insurance?

Yes, Edward Benjamin Penn JR. accepts insurance

Does Edward Benjamin Penn JR. offers telemedicine?

Edward Benjamin Penn JR. has not indicated if he offers telemedicine

What is Edward Benjamin Penn JR.’s professional license number?

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What is Edward Benjamin Penn JR.’s NPI number?

1053474163

Does Edward Benjamin Penn JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207YP0228X Pediatric Otolaryngology 51723 SC

National Provider Identifier

NPI 1053474163
Provider Name Edward Benjamin Penn JR.
First Address Greenville, SC 29615-4536
Second Address Greenville, SC 29615-6306
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/12/2006
Last Update Date 17/03/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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