| Dr Ben C Pendarvis Jr, MD | |
|
940 Holly St Ne, Orangeburg, SC 29115-4930 | |
| (803) 536-2725 | |
| (803) 534-1441 |
| Full Name | Dr Ben C Pendarvis Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 940 Holly St Ne, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003815309 | NPI | - | NPPES |
| GP0966 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5230 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ben C Pendarvis Jr, MD 940 Holly St Ne, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 | Dr Ben C Pendarvis Jr, MD 940 Holly St Ne, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 |
Tanya Am Nanongkhai, Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Dr. Sandra Stephens, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Brigitte Jahoor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Sandra Siatkowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1995 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-928-5525 | |
Dr. Thomas B. Gue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Dr. Virginia Wagner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 |