NPI 1700631876

Heidi Kathleen Bennett

Practitioner Independent Duty Corpsman North Charleston, SC

Practice location

Address: 5617 N Rhett Ave, North Charleston, SC 29406-3509
Phone: (843) 834-9881
Mailing address: 36 Heather Glenn Ln, Bluffton, SC 29910-7963

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1700631876
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

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.