Individual
DR. BENJAMIN W DART IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0775
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD37822
TN
2086S0102X
Surgical Critical Care Physician
MD37822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3328077
—
TN
01
—
4106058
BCBS OF TN
—
05
—
522651903A
—
GA
01
—
5566975
CIGNA
—
Enumeration date
09/07/2005
Last updated
02/18/2019
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