Doctor Name: | JUDITH GAIL BENSON |
NPI Number: | 1033139118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | APN.17986 |
Business Practice Address: | 391 Serpentine Dr Suite 400 Spartanburg, SC - 293033096 |
Business Phone Number: | 8645607517 |
Business Fax Number: | 8645607520 |
Mailing Address: | Po Box 2168, SPARTANBURG |
State: | SC |
Postal Code: | 293042168 |
Phone Number: | 8645604304 |
Fax Number: | 8645604413 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | APN.17986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |