Healthcare Provider Details

I. General information

NPI: 1225487580
Provider Name (Legal Business Name): BENJAMIN SCOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1934 ALCOA HWY STE 362
KNOXVILLE TN
37920-1526
US

IV. Provider business mailing address

1934 ALCOA HWY STE 362
KNOXVILLE TN
37920-1526
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-4670
  • Fax:
Mailing address:
  • Phone: 865-305-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number246946
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number246946
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: