| Camilla C. Bennett MD PC | |
|
200 Fort Sanders West Blvd Suite 107 Knoxville TN 37922-3357 | |
| (865) 670-1003 | |
| (865) 670-1004 |
| Full Name | Camilla C. Bennett MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Fort Sanders West Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Camilla C. Bennett (OWNER) |
| Authorized Official Contact | 8656701003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camilla C. Bennett MD PC 200 Fort Sanders West Blvd Suite 107 Knoxville TN 37922-3357 Ph: (865) 670-1003 | Camilla C. Bennett MD PC 200 Fort Sanders West Blvd Suite 107 Knoxville TN 37922-3357 Ph: (865) 670-1003 |
| NPI Number | 1770622003 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770622003 | NPI | - | NPPES |
| 3372803 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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