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Dr. Jon Michael Bennett, DO

Anesthesiology in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1366427841
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1366427841
Entity type
Individual (NPI-1)
Name
Dr. Jon Michael Bennett
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Dec 7, 2005
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology37755SCYes

Practice location

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Phone 843-449-3381 · Fax 843-449-9721

Mailing address

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Phone 843-449-3381 · Fax 843-449-9721

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