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Contact Information

BENJAMIN W DART IV, MD
979 E 3RD ST
STE 300
CHATTANOOGA, TN37403-2136
 Phone: 423-267-0466
 Fax: 423-757-0775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BENJAMIN W DART IV · (Male)

NPI Number 1104810167
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2005
Last updated 02/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD37822
  • GA Medicaid 522651903A
  • TN Medicaid 3328077
  • Other 4106058 BCBS OF TN
  • Other 5566975 CIGNA
Hospital affiliation(s)
  • ERLANGER MEDICAL CENTER - (Acute Care)
    975 E 3RD ST
    CHATTANOOGA, TN 37403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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