Organization
PRIMUS MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMINE F. EVANS M.D. (OWNER)
(901) 346-6566
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, #206, MEMPHIS, TN 38116-6400
(901) 364-6566
(901) 844-1439
Mailing address
1264 WESLEY DR, #206, MEMPHIS, TN 38116-6400
(901) 364-6566
(901) 844-1439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99977
BCBS OF TN
TN
Enumeration date
02/08/2007
Last updated
07/07/2010
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