| J D Benitone Md Pc | |
|
2144 Monroe Ave Memphis TN 38104-4229 | |
| (901) 274-9046 | |
| (901) 272-7360 |
| Full Name | J D Benitone Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2144 Monroe Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Jerry D Benitone (PRESIDENT) |
| Authorized Official Contact | 9012749046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J D Benitone Md Pc 2144 Monroe Ave Memphis TN 38104-4229 Ph: (901) 274-9046 | J D Benitone Md Pc 2144 Monroe Ave Memphis TN 38104-4229 Ph: (901) 274-9046 |
| NPI Number | 1235424730 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235424730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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