Individual
MR. BENJAMIN LEE CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7540 DANNAHER WAY, SUITE 200, POWELL, TN 37849-4013
(865) 859-7950
Mailing address
202 HAUN ST, KNOXVILLE, TN 37917-2935
(423) 341-9725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1387
TN
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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