Individual provider · Type 1 NPI

Jerry D. Benitone, MD

Specialist · Memphis, TN

NPI number 1629073119 Active

Practice location

2144 Monroe Ave
Memphis, TN 38104-4229

Fax (901) 272-7360

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD0000006809 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629073119

Jerry D. Benitone, MD's National Provider Identifier is 1629073119, issued on Jun 20, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Memphis, TN. The record was last updated on Jul 9, 2007.