Individual
DR. BENJAMIN BRIAN BRANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5659 S REX RD, MEMPHIS, TN 38119-3821
(901) 763-3636
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
56134
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2008
Last updated
07/21/2022
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