| Doctor Name: | ALLYSON RAE BENDER |
| NPI Number: | 1588903397 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 18145 |
| Business Practice Address: | 1600 Highway 17 N Surfside Beach, SC - 295756015 |
| Business Phone Number: | 8432381461 |
| Business Fax Number: | 8434480707 |
| Mailing Address: | 1818 Henderson St, COLUMBIA |
| State: | SC |
| Postal Code: | 292012619 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2013 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |