Individual provider · Type 1 NPI

Brian R. Obenza, PA-C

Medical Physician Assistant · Mount Pleasant, SC

NPI number 1053613786 Active

Practice location

180 Wingo Way, Suite 204
Mount Pleasant, SC 29464-1810

Call (843) 534-1770 Map

Fax (843) 534-1767

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XTL1599 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1053613786

Brian R. Obenza, PA-C's National Provider Identifier is 1053613786, issued on Dec 1, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Pleasant, SC. The record was last updated on Dec 1, 2010.