# MR. BENJAMIN EDGAR SHOEMAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811077712
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD18084 | TN | Yes |
| 261QU0200X | Urgent Care Clinic/Center | MD18084 | TN | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 11/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3163048 | BCBS | TN |
| 05 | — | 3852908 | — | TN |
| 01 | — | 44DO986946 | CLIA MEDICARE | TN |