Bennett, Bralyn
Bennett, Bralyn is an individual health care provider with primary practice located at 5046 Highway 17 Byp S Ste 200 , Myrtle Beach SC 29588-4503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bennett, Bralyn can be contacted via phone (843) 839-3501.Contact Information
Primary practice address
5046 Highway 17 Byp S Ste 200
Myrtle Beach SC 29588-4503
Phone: (843) 839-3501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3837 | South Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 3837 | South Carolina |
Profile Details
| NPI number | 1669145249 |
|---|---|
| LBN Legal business name | Bennett, Bralyn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2021 |
| Last updated | May 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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