Individual
BENJAMIN WEST SHEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7545 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5806
(901) 759-3100
(901) 759-3196
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-5416
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
25015
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
54143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04451561
—
MS
05
—
218161001
—
AR
05
—
Q025042
—
TN
Enumeration date
04/18/2011
Last updated
05/01/2018
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