Organization
J D BENITONE MD FACS PC
Active
Organization
J D BENITONE MD FACS PC
Active
Other names
J D Benitone MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D BENITONE M.D. (PRESIDENT)
(901) 274-9046
Entity
Organization
Contact information
Practice address
2144 MONROE AVE, MEMPHIS, TN 38104-4229
(901) 274-9046
(901) 272-7360
Mailing address
2144 MONROE AVE, MEMPHIS, TN 38104-4229
(901) 274-9046
(901) 272-7360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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