Individual
BENJAMIN J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1510 WOODHAVEN DR, SEVIERVILLE, TN 37862-6049
(865) 654-4600
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN47688
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3029155
BLUE CROSS BLUE SHIELD
TN
05
—
3600153
—
TN
Enumeration date
10/24/2005
Last updated
06/11/2020
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