NPI 1902093479 · live from the CMS NPI Registry
Sally Suzanne Benton, MD
Psychiatry & Neurology, Psychiatry in Maryville, TN. National Provider Identifier 1902093479, active.
NPI record
| NPI | 1902093479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 405 Ellis Ave, Maryville, TN 37804 |
| Practice phone | 865-980-5377 |
| Mailing address | 300 E Mcbee Ave Fl 4, Greenville, SC 29601 |
| Enumerated | September 28, 2007 |
| Last updated | June 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 2011-00174 (NC) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 46621 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.