Healthcare Provider Details

I. General information

NPI: 1164595070
Provider Name (Legal Business Name): TENNESSEE ONCOLOGY,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST STE 800
NASHVILLE TN
37203-2659
US

IV. Provider business mailing address

PO BOX 440261
NASHVILLE TN
37244-0261
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-0570
  • Fax:
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATTIE DOUGLAS
Title or Position: PAYER RELATIONS MANAGER
Credential:
Phone: 615-514-3042