Individual
DR. DARRELL ALLAN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 E WEISGARBER RD STE 102, KNOXVILLE, TN 37909-2647
(865) 558-9862
(865) 584-3478
Mailing address
1112 E WEISGARBER RD STE 102, KNOXVILLE, TN 37909-2647
(865) 558-9862
(865) 584-3478
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54462
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q030855
—
TN
Enumeration date
05/16/2011
Last updated
10/21/2022
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