Pendarvis, Ben C
Pendarvis, Ben C is an individual health care provider with primary practice located at 940 Holly St Ne , Orangeburg SC 29115-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pendarvis, Ben C can be contacted via phone (803) 536-2725.Contact Information
Primary practice address
940 Holly St Ne
Orangeburg SC 29115-4930
Phone: (803) 536-2725
Fax: (803) 534-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5230 | South Carolina |
Profile Details
| NPI number | 1003815309 |
|---|---|
| LBN Legal business name | Pendarvis, Ben C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003815309 | NPPES |
| South Carolina | MEDICAID | GP0966 |
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