Individual
JUSTIN A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 TOPSIDE RD STE 200, LOUISVILLE, TN 37777-4761
(865) 374-0560
(865) 374-2020
Mailing address
1921 TOPSIDE RD STE 200, LOUISVILLE, TN 37777-4761
(865) 374-0560
(865) 374-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52585
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014187
—
TN
Enumeration date
03/29/2012
Last updated
05/14/2026
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