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Contact Information

SOPHIA M EDWARDS BENNETT, MD, PH.D
1400 HAL GREER BLVD
HUNTINGTON, WV25701-4114
 Phone: 304-399-6500
 Fax: 304-399-6621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for SOPHIA M EDWARDS BENNETT · (Female)

NPI Number 1942468426
Status Active
Credentials MD, PH.D
Entity Individual
Enumeration date 05/30/2008
Last updated 05/19/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • FL License # ME108066
  • NY License # 24405-1
  • SC License # MD34483
  • SC License # TL34483
  • WV License # 34473
  • FL Medicaid 109558300
  • NC Medicaid 5921093
  • SC Medicaid 344835
  • WV Medicaid 1942468426
  • SC Other 9322600 AETNA
  • SC Other 4952170 CIGNA
  • SC Other P01070951 RAILROAD MEDICARE
  • SC Other 80023852 SELECT HEALTH
  • SC Other 692677 WELLCARE
Hospital affiliation(s)
  • MEMORIAL HSPTL LAFAYETTE CTY - (Critical Access)
    800 CLAY ST
    DARLINGTON, WI 53530
  • THE MONROE CLINIC - (Acute Care)
    2005 5TH STREET
    MONROE, WI 53566
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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