Individual
BENNY C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5047
(952) 442-9770
Mailing address
233 W 1ST ST, WACONIA, MN 55387-1302
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN52524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3028585
BLUE CROSS BLUE SHIELD
TN
05
—
3601996
—
TN
Enumeration date
10/24/2005
Last updated
12/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us