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1053846287
BENJAMIN DAVID THEOBALD
SPARTANBURG, SC
NPI
1053846287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC 41006)
Enumeration Date
2017-04-25
Last Update Date
2021-01-04
Business Address
BENJAMIN DAVID THEOBALD MD
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-7025
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Mailing Address
BENJAMIN DAVID THEOBALD MD
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number:
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