Individual
DR. BEN B MAHAN
Active
Individual
DR. BEN B MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TN18870
TN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
TN18870
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039979
—
TN
01
—
3074482
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/21/2005
Last updated
03/10/2021
Update your record
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