BENSON ELLIOTT BAGWELL

CLEMSON, SC
NPI1639703820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61040729)
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
Mr. BENSON ELLIOTT BAGWELL FNP-BC
111 EVERGREEN DR
CLEMSON, SC 29631-2057
Phone number: 202-631-1232
Mailing Address
Mr. BENSON ELLIOTT BAGWELL FNP-BC
111 EVERGREEN DR
CLEMSON, SC 29631-2057
Phone number: 202-631-1232
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