Individual
JACOB LLOYD BENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 301-6567
(423) 573-9672
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 301-6567
(423) 573-9672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000049799
TN
2085R0204X
Vascular & Interventional Radiology Physician
MD0000049799
TN
Other
Enumeration date
07/07/2008
Last updated
07/11/2023
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