Individual
BENJAMIN A MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 BLACKFORD STREET, J402, CHATTANOOGA, TN 37403-1405
(423) 778-7289
(423) 778-6848
Mailing address
PO BOX 11503, J402, CHATTANOOGA, TN 37401-2503
(423) 778-3274
(423) 778-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
43769
TN
Other
Enumeration date
09/27/2007
Last updated
06/10/2011
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