Bennett, Bralyn

Bennett, Bralyn is an individual health care provider with primary practice located at 5046 Highway 17 Byp S Ste 200 , Myrtle Beach SC 29588-4503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bennett, Bralyn can be contacted via phone (843) 839-3501.

Contact Information

Primary practice address
5046 Highway 17 Byp S Ste 200 Myrtle Beach SC 29588-4503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3837 South Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3837 South Carolina

Profile Details

NPI number 1669145249
LBN Legal business name Bennett, Bralyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2021
Last updated May 8th, 2024 - about 6 months 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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