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NPI Code Detail

MEDICARE: BENJAMIN I SHEPPLE

MEDICARE:   BENJAMIN I SHEPPLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician52877TN

General Provider Information

NPI Number : 1083848733
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN I SHEPPLE
Provider Business Mailing Address
First Line : PO BOX 415000-MSC8179
Second Line :
City : NASHVILLE
State : TN
Zip : 37241-8179
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1940 ALCOA HWY STE E310
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-2267
Country : US
Telephone Number : 865-544-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2009
Last Update Date : 12/23/2020

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Directions to “ BENJAMIN I SHEPPLE ” Practice Location

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