Organization
CAMILLA C. BENNETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLA C. BENNETT MD (OWNER)
(865) 670-1003
Entity
Organization
Contact information
Practice address
200 FORT SANDERS WEST BLVD, SUITE 107, KNOXVILLE, TN 37922-3357
(865) 670-1003
(865) 670-1004
Mailing address
200 FORT SANDERS WEST BLVD, SUITE 107, KNOXVILLE, TN 37922-3357
(865) 670-1003
(865) 670-1004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372803
—
TN
Enumeration date
02/05/2007
Last updated
06/15/2020
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