Individual
DR. BENJAMIN DANIEL WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. M.S.W.
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3556
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042575
—
TN
Enumeration date
03/20/2017
Last updated
03/22/2024
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