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1275155400
BENNETT W. MACK
GREENVILLE, SC
NPI
1275155400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC LL83976)
Enumeration Date
2020-05-11
Last Update Date
2023-07-06
Business Address
BENNETT W. MACK MD
20 MEDICAL RIDGE DR
GREENVILLE, SC 29605-4267
Phone number: 648-522-5220
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Mailing Address
BENNETT W. MACK MD
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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