Individual
MELISSA Y BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
412 DEVONIA ST, HARRIMAN, TN 37748-2009
(865) 882-4112
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1999
TN
Other
Enumeration date
09/01/2011
Last updated
09/02/2011
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