NPI 1316049281
Benjamin a B Heverly
Practice location
- Address
- 5722 Integrity Dr, Millington, TN 38054-5028
- Phone
- (901) 874-6264
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1316049281
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Sep 2006
- Record last updated
- 22 Sep 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.