Healthcare Provider Details

I. General information

NPI: 1891990289
Provider Name (Legal Business Name): TRI-CITY ONCOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK BLVD
BRISTOL TN
37620-7430
US

IV. Provider business mailing address

3053 W STATE ST
BRISTOL TN
37620-1720
US

V. Phone/Fax

Practice location:
  • Phone: 423-224-2360
  • Fax:
Mailing address:
  • Phone: 423-968-1144
  • Fax: 423-968-3453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number10909
License Number StateTN

VIII. Authorized Official

Name: JOHN A. FINCHER
Title or Position: OWNER
Credential:
Phone: 423-968-1144