Individual
BENJAMIN HAYES EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
(423) 753-4000
Mailing address
2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6207
TN
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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