Bennett, Camilla C

Bennett, Camilla C is an individual health care provider with primary practice located at 200 Fort Sanders West Blvd Ste 107, Mdb 1, Knoxville TN 37922-3357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Camilla C can be contacted via phone (865) 670-1003.

Contact Information

Primary practice address
200 Fort Sanders West Blvd Ste 107, Mdb 1 Knoxville TN 37922-3357
Phone: (865) 670-1003
Fax: (865) 670-1004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000027512 Tennessee

Profile Details

NPI number 1497734073
LBN Legal business name Bennett, Camilla C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jun 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497734073 NPPES
Tennessee MEDICAID Q013407

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