Healthcare Provider Details

I. General information

NPI: 1811914328
Provider Name (Legal Business Name): VOLUNTEER RADIATION ONCOLOGY GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 WEST 4TH NORTH STREET DEPT OF RADIATION ONCOLOGY
MORRISTOWN TN
37814-3894
US

IV. Provider business mailing address

DEPT 888025
KNOXVILLE TN
37995-8025
US

V. Phone/Fax

Practice location:
  • Phone: 423-522-5000
  • Fax: 423-522-4901
Mailing address:
  • Phone: 512-583-0205
  • Fax: 512-583-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN M ANDERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 423-522-5000