Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett W. Mack, MD

Individual provider Pediatrics Physician · NPI 1275155400

Bennett W. Mack, MD is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2020.

Licensed in
SC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20 Medical Ridge Dr
Greenville, SC 29605-4267
Phone: (648) 522-5220
Fax: (864) 522-5296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence LL83976 (SC)

Record details

NPI number1275155400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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