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1003815309
BEN C PENDARVIS
ORANGEBURG, SC
NPI
1003815309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC 5230)
Enumeration Date
2005-07-19
Last Update Date
2007-07-08
Business Address
Dr. BEN C PENDARVIS M.D.
940 HOLLY ST NE
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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Mailing Address
Dr. BEN C PENDARVIS M.D.
940 HOLLY ST NE
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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