NPI 1053846287

Benjamin David Theobald, MD

Practitioner Emergency Medicine Physician Spartanburg, SC

Practice location

Address: 101 E Wood St, Spartanburg, SC 29303-3040
Phone: (864) 560-7025
Fax: (864) 560-7388
Mailing address: PO Box 743070, Atlanta, GA 30374-3070

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 41006 (SC)

Other Emergency Medicine providers in South Carolina →

Registry record

NPI: 1053846287
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2017
Record last updated: 4 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.