Individual
BENJAMIN JAMES STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 MEDICAL CENTER PKWY STE 200, MURFREESBORO, TN 37129-2566
(615) 896-6800
(615) 895-8890
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11149
MN
363A00000X
Physician Assistant
Primary
4474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064717
—
TN
Enumeration date
05/24/2012
Last updated
10/13/2023
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