Provider Demographics
NPI:1790892594
Name:BENSON, JOSEPH ELLIOTT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ELLIOTT
Last Name:BENSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1107 SEQUOYA TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-8468
Mailing Address - Country:US
Mailing Address - Phone:931-381-5165
Mailing Address - Fax:615-232-8009
Practice Address - Street 1:1107 SEQUOYA TRL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-8468
Practice Address - Country:US
Practice Address - Phone:931-381-5165
Practice Address - Fax:615-232-8009
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2020-07-09
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Provider Licenses
StateLicense IDTaxonomies
TN40019207ZP0102X
CAC54057207ZP0102X
NV16481207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology