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NPI Code Detail

MEDICARE: TENNESSEE ONCOLOGY PLLC

MEDICARE: TENNESSEE ONCOLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457303083
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE ONCOLOGY PLLC
Provider Business Mailing Address
First Line : PO BOX 440100
Second Line :
City : NASHVILLE
State : TN
Zip : 37244-0100
Country : US
Telephone Number : 615-329-0570
Fax Number :
Provider Business Practice Location Address
First Line : 776 WEATHERLY DR
Second Line : SUITE A
City : CLARKSVILLE
State : TN
Zip : 37043-8941
Country : US
Telephone Number : 615-906-2004
Fax Number : 931-906-2009
Authorized Official
Title or Position : PAYER RELATIONS MANAGER
Name : PATTIE DOUGLAS
Credential :
Telephone Number : 615-514-3042
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/25/2017

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Directions to “TENNESSEE ONCOLOGY PLLC ” Practice Location

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