Pardue, Benjamin M

Pardue, Benjamin M is an individual health care provider with primary practice located at 689 Medical Park Dr Ste 101 , Lenoir City TN 37772-5796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pardue, Benjamin M can be contacted via phone (865) 271-6580.

Contact Information

Primary practice address
689 Medical Park Dr Ste 101 Lenoir City TN 37772-5796
Phone: (865) 271-6580
Fax: (865) 374-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6316 Tennessee

Profile Details

NPI number 1205455920
LBN Legal business name Pardue, Benjamin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2020
Last updated Sep 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205455920 NPPES
Tennessee MEDICAID Q104888

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