Jerry D Benitone is a Specialist in Memphis, Tennessee. Jerry D Benitone practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry D Benitone is 1629073119. The last update date is 2007-07-09.
Jerry D Benitone's current location address is 2144 Monroe Ave, Memphis, Tennessee. You can contact this provider via phone number 9012749046 and fax number 9012727360. The mailing address for Jerry D Benitone is 2144 Monroe Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Benitone |
|---|---|
| Address | 2144 Monroe Ave, Memphis, Tennessee |
| Phone Number | 9012749046 |
| Fax Number | 9012727360 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629073119 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2144 Monroe Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 3810442290 |
| Phone Number | 9012749046 |
| Fax Number | 9012727360 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD0000006809 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10364 | MS | -- | |
| 3191624 | TN | -- |
Post Comment/ Review Below
What is the Jerry D Benitone's unique identification number?
The Jerry D Benitone has been assigned the NPI (National Provider Identifier) Number 1629073119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jerry D Benitone?
The Jerry D Benitone is situated at 2144 Monroe Ave, in the city of Memphis, state of TN, with the zip code 3810442290.
What is Jerry D Benitone's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry D Benitone is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Jerry D Benitone's 1629073119 issued?
The Jerry D Benitone's 1629073119 was issued on 2005-06-20.
As of what date was the information pertaining to Jerry D Benitone, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry D Benitone, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.