Benita K Qualls is a Physician Assistant based in Lebanon, TN. Benita K Qualls practices in Lebanon, TN and has the professional credentials of PA. The NPI Number for Benita K Qualls is 1629245634 and holds a License No. 185 (Tennessee).
The current practice location address for Benita K Qualls is 1407 W Baddour Pkwy, Lebanon, TN and can be reached out via phone at 615-444-6203 and via fax at 615-444-6252.
Identifier | Type | State | Issuer |
---|---|---|---|
3323092 | 01 | TN | UHC |
1523861 | 05 | TN | |
185 | 01 | TN | PHYSICIAN ASSISTANT LICENSE |
4298144 | 01 | TN | BCBS |
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