Individual
BENJAMIN TRACY WALDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403-2136
(423) 778-5910
(423) 778-5915
Mailing address
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403-2136
(423) 778-5910
(423) 778-5915
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55292
TN
Other
Enumeration date
06/24/2010
Last updated
07/31/2019
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