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Organization
CAMILLA C. BENNETT MD PC
Active
Organization
CAMILLA C. BENNETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLA C. BENNETT MD (OWNER)
(865) 670-1003
Entity
Organization
Contact information
Practice address
200 FORT SANDERS WEST BLVD, SUITE 107, KNOXVILLE, TN 37922-3357
(865) 670-1003
(865) 670-1004
Mailing address
200 FORT SANDERS WEST BLVD, SUITE 107, KNOXVILLE, TN 37922-3357
(865) 670-1003
(865) 670-1004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372803
—
TN
Enumeration date
02/05/2007
Last updated
06/15/2020
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