Most Relevant Information
Provider Data
| NPI Number: | 1003815309 |
| Provider Name: | BEN C PENDARVIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 5230 |
Most Important Dates
| Enumeration Date: | 07/19/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
940 HOLLY ST NE
ORANGEBURG
SC
291154930
Practice Location Phone/Fax
| Phone: | 8035362725 |
| Fax: | 8035341441 |
Provider Mailing Location
940 HOLLY ST NE
ORANGEBURG
SC
291154930
Provider Mailing Phone/Fax
| Phone: | 8035362725 |
| Fax: | 8035341441 |
Suggested EMR
Pediatrics EMR