Individual provider · Type 1 NPI

Benjamin Andrew Fogelson

Student in an Organized Health Care Education/Training Program · Knoxville, TN

NPI number 1790312866 Active

Practice location

1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511

Fax (865) 305-9144

Mailing address

1924 Alcoa Highway, Medical Building B, Suite 127
Knoxville, TN 37920-1511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790312866

Benjamin Andrew Fogelson's National Provider Identifier is 1790312866, issued on Mar 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Knoxville, TN. The record was last updated on Apr 6, 2020.