NPI 1922046168 · live from the CMS NPI Registry
Jeffrey Scott Bennett, M.D.
Pediatrics in Chattanooga, TN. National Provider Identifier 1922046168, active.
NPI record
| NPI | 1922046168 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 910 Blackford St, Chattanooga, TN 37403 |
| Practice phone | 423-778-6107 |
| Mailing address | 975 E 3rd St, Attn: Provider Enrollment, Chattanooga, TN 37403 |
| Enumerated | June 2, 2006 |
| Last updated | August 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | 54330 (TN) |
| Pediatrics, Pediatric Infectious Diseases | 2080P0208X | 54330 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.