Individual
SONIA M BENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7668 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5304
(662) 349-9556
(901) 685-9718
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 683-0055
(901) 685-9718
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
19170
MS
207RH0003X
Hematology & Oncology Physician
35254
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09489587
—
MS
05
—
158702001
—
AR
05
—
207619701
—
MO
05
—
3887914
—
TN
01
—
4069912
BCBS TN
TN
01
—
7294516
AETNA
TN
01
—
83635
BCBS AR
AR
Enumeration date
07/02/2006
Last updated
02/24/2011
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