Individual
MR. MICHAEL DARYL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 W BURTON ST, MURFREESBORO, TN 37130-3657
(615) 898-7880
Mailing address
109 LEI LANI DR, LEBANON, TN 37087-3021
(615) 714-7783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215282
TN
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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