Individual
JULIAN A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 KYLE LN, SPRING HILL, TN 37174-4534
(615) 852-7725
Mailing address
1010 KYLE LN, SPRING HILL, TN 37174-4534
(615) 852-7725
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35080506B
OH
207R00000X
Internal Medicine Physician
Primary
MD0000042284
TN
208000000X
Pediatrics Physician
MD42284
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426566
—
OH
05
—
3000938
—
TN
05
—
3283015
—
TN
01
—
4160664
BCBS
TN
Enumeration date
10/13/2006
Last updated
08/29/2014
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