Individual
BENYAMIN Y EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
522 BELL RD, ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC, ANTIOCH, TN 37013-2002
(615) 361-7266
Mailing address
522 BELL RD, ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC, ANTIOCH, TN 37013-2002
(615) 361-7266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531656
—
TN
Enumeration date
05/28/2008
Last updated
06/02/2022
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