Individual
BENJAMIN SIMON HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST FL 2, MEMPHIS, TN 38105-4625
(901) 287-7337
(901) 287-4646
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-7337
(901) 287-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70778
AZ
207RC0000X
Cardiovascular Disease Physician
35.126320
OH
208000000X
Pediatrics Physician
70778
AZ
2080P0202X
Pediatric Cardiology Physician
Primary
56639
TN
Other
Enumeration date
06/20/2008
Last updated
03/17/2018
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