Individual
MR. ALEXANDER BENNATAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 11TH AVE S, APT 469, NASHVILLE, TN 37203-4010
(224) 565-6134
Mailing address
320 11TH AVE S, APT 469, NASHVILLE, TN 37203-4010
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
242T00000X
TN
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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