| NPI | 1104507672 |
|---|---|
| Doing Business As | DR. ROBERT BENNETT |
| Entity Type | Organization |
| Authorized Contact | ROBERT M. BENNETT President 843-571-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |