Jeffrey Scott Bennett, M.D.
Pediatrics in Chattanooga, TN. Individual provider (NPI-1).
NPI number1922046168
StatusActive
Last updated in NPPESAug 1, 2016
Details
- NPI
- 1922046168
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Scott Bennett
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2006
- Last updated
- Aug 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 54330 | TN | Yes |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 54330 | TN |
Practice location
910 Blackford StChattanooga, TN 37403-1405
Phone 423-778-6107 · Fax 423-778-6958
Mailing address
975 E 3rd StAttn: Provider Enrollment
Chattanooga, TN 37403-2147
Phone 423-778-6107 · Fax 423-778-6958
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