Individual
BENJAMIN F EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1264 WESLEY DR, #206, MEMPHIS, TN 38116-6400
(901) 346-6566
Mailing address
1264 WESLEY DR, STE 206, MEMPHIS, TN 38116-6444
(901) 346-6566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045719
—
TN
05
—
3703296
—
TN
01
—
99977
BCBST
TN
Enumeration date
03/02/2006
Last updated
10/14/2020
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