Healthcare Provider Details

I. General information

NPI: 1831272020
Provider Name (Legal Business Name): TENNESSEE CANCER SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E BLOUNT AVE STE 610
KNOXVILLE TN
37920-1632
US

IV. Provider business mailing address

6016 BROOKVALE LN STE 200
KNOXVILLE TN
37919-4092
US

V. Phone/Fax

Practice location:
  • Phone: 865-934-5800
  • Fax: 865-934-5800
Mailing address:
  • Phone: 865-862-0998
  • Fax: 865-544-1861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL D MARTIN
Title or Position: CHIEF MANAGER
Credential: MD
Phone: 865-637-9330