Individual
VICTORIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-3611
Mailing address
1920 OLD SNOW HILL RD, DOWELLTOWN, TN 37059-2201
(615) 785-6967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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