MEDICARE: BENJAMIN WILLIAM CALTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	27679	MS
2	207P00000X	Emergency Medicine Physician	83719	SC

General Provider Information

NPI Number	:	1679060743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN WILLIAM CALTON DO

Provider Business Mailing Address
First Line	:	104 WELLS AVE
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29646-3837
Country	:	US
Telephone Number	:	864-725-4673
Fax Number	:	864-725-7424

Provider Business Practice Location Address
First Line	:	101 E WOOD ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-3040
Country	:	US
Telephone Number	:	864-560-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2018
Last Update Date	:	01/05/2026

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