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Contact Information

JEFFERY R BENNETT, MD
316 CALHOUN ST
ATTN: RADIOLOGY DEPARTMENT
CHARLESTON, SC29401-1113
 Phone: 843-724-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JEFFERY R BENNETT · (Male)

NPI # 1770597528
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 02/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2004-00341
  • SC License # 29827
  • SC Medicaid 298270
  • SC Other P00403138 RR MCARE
Hospital affiliation(s)
  • BON SECOURS-ST FRANCIS XAVIER HOSPITAL - (Acute Care)
    2095 HENRY TECKLENBURG DRIVE
    CHARLESTON, SC 29414
  • MOUNT PLEASANT HOSPITAL - (Acute Care)
    3500 HIGHWAY 17 NORTH
    MOUNT PLEASANT, SC 29466
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
  • ROPER HOSPITAL - (Acute Care)
    316 CALHOUN ST
    CHARLESTON, SC 29401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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