| NPI | 1609948009 |
|---|---|
| Other Name | MOSES BENAVIDES MD |
| Entity Type | Organization |
| Authorized Contact | MOSES BENAIAH BENAVIDES CEO 423-318-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TN MD 0000040290) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: TN MD0000040290) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: TN MD0000040290) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: TN MD0000040290) | |
| 261QM1103X Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) (Licence: TN MD0000040290) | |
| 261QD0000X Clinic/Center, Dental (Licence: TN DS0000007577) | |
| 261QC1500X Clinic/Center, Community Health (Licence: TN MD0000040290) | |
| 261QC1800X Clinic/Center, Corporate Health (Licence: TN MD0000040290) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-03-07 |