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Individual

BENJAMIN SCOTT POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD45085
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03239711
MS
05
1514518
TN
05
178398001
AR
01
4355671
BCBS
TN
05
9000221822
CO
Enumeration date
04/23/2007
Last updated
10/04/2023
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