Benda, Gary Alan

Benda, Gary Alan is an individual health care provider with primary practice located at 222 E Medical Ln Ste 100&200 , West Columbia SC 29169-4847. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Benda, Gary Alan can be contacted via phone (803) 935-8410.

Contact Information

Primary practice address
222 E Medical Ln Ste 100&200 West Columbia SC 29169-4847
Phone: (803) 935-8410
Fax: (803) 936-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2579 South Carolina

Profile Details

NPI number 1346794732
LBN Legal business name Benda, Gary Alan
Credentials MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Oct 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346794732 NPPES
South Carolina MEDICAID 2733PA

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