Provider Demographics
NPI:1689748881
Name:PAYSINGER, BENJAMIN DANIEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:DANIEL
Last Name:PAYSINGER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2801 DEVINE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2511
Mailing Address - Country:US
Mailing Address - Phone:803-256-7076
Mailing Address - Fax:803-256-0961
Practice Address - Street 1:2801 DEVINE ST STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2511
Practice Address - Country:US
Practice Address - Phone:803-256-7076
Practice Address - Fax:803-256-0961
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13383207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCB921571647Medicare PIN