Bernum Benjamin Ashley Iii, | |
125 Mallard Dr, Moore, SC 29369-9464 | |
(864) 486-9585 | |
Not Available |
Full Name | Bernum Benjamin Ashley Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 125 Mallard Dr, Moore, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932492535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2059 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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Bernum Benjamin Ashley Iii, 125 Mallard Dr, Moore, SC 29369-9464 Ph: (864) 486-9585 | Bernum Benjamin Ashley Iii, 125 Mallard Dr, Moore, SC 29369-9464 Ph: (864) 486-9585 |
Benchmark Healthcare Service Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5844 Reidville Rd Ste F, Moore, SC 29369 Phone: 864-249-6746 | |
Joni Quinn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 287 Antrim Ave, Moore, SC 29369 Phone: 864-590-6183 Fax: 864-574-8111 |