Bennett Fontenot M.D.

NPI 1033316310 - Surgery - 208600000X

NPI Details
NPI 1033316310
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
96 JONATHAN LUCAS ST
SUITE 418-B
CHARLESTON SC, 29425-8900, US
Phone (843) 792-3072
Fax
Business Location
1433 AMANDA PARK LN
CHARLESTON SC, 29412-8651, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State South Carolina
License Number LL30088
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According to our database, Bennett Fontenot M.D. NPI is 1033316310, taxonomy code is 208600000X and license number is LL30088, license state is located at South Carolina. Bennett Fontenot M.D. physically located at 96 Jonathan Lucas St, Charleston SC, 29425-8900. NPI Number Bennett Fontenot M.D. has the Individual type.

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1033316310 NPI number is provided on an as is basis without warranty of any kind. 1033316310 is maintained by the National Plan & Provider Enumeration System. The contents of Bennett Fontenot M.D. are for informational purposes only.