BRIAN R OBENZA PA-C NPI 1053613786

NPI Information

NPI: 1053613786
Provider Name: BRIAN R OBENZA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
180 WINGO WAY
SUITE 204
MT PLEASANT, SC
ZIP 29464
Phone: (843) 534-1770
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Brian R Obenza, PA-C is a medical physician assistant in Mt Pleasant, SC. Brian R Obenza, PA-C NPI is 1053613786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

180 WINGO WAY
SUITE 204
MT PLEASANT, SC
ZIP 29464-810
Phone: (843) 534-1770
Fax: (843) 534-1767

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	TL1599	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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