BRIAN TIMOTHY BENJAMIN

ELIZABETHTON, TN
NPI1770666455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Mr. BRIAN TIMOTHY BENJAMIN BS
426 G ST
ELIZABETHTON, TN 37643
Phone number: 423-547-5950
Mailing Address
Mr. BRIAN TIMOTHY BENJAMIN BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600