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DR. MOSES BENAIAH BENAVIDES M.D.

Physicians Family Medicine Sports Medicine

Provider NPI: 1326332768

Provider Information:
DR. MOSES BENAIAH BENAVIDES M.D.
Gender: M
Sole Proprietor

Practice Location:
222 BOWMAN ST SUITE # 3 MORRISTOWN, TN 37813-3856 US
Tel: 423-318-1185  Fax: 423-318-1015

Business Mailing Address:
222 BOWMAN ST SUITE # 3 MORRISTOWN, TN 37813-3856 US
Tel: 423-318-1185  Fax: 423-318-1015

NPI Information:
NPI: 1326332768
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QS0010XPhysicians
Family Medicine
Sports Medicine
TNMD 0000040290

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207QS0010X

Type:

Classification:



Definition:



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