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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
1332900000XNon-Pharmacy Dispensing SiteMD28524TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14438354OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457393126
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE ONCOLOGY, PLLC
Provider Business Mailing Address
First Line : 300 20TH AVE N
Second Line : SUITE 301
City : NASHVILLE
State : TN
Zip : 37203
Country : US
Telephone Number : 615-986-4102
Fax Number : 615-750-1722
Provider Business Practice Location Address
First Line : 397 WALLACE RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-8025
Country : US
Telephone Number : 615-333-2481
Fax Number : 615-781-3923
Authorized Official
Title or Position : PAYER RELATIONS MANAGER
Name : PATTIE DOUGLAS
Credential :
Telephone Number : 615-514-3042
Provider Enumeration Date : 06/10/2006
Last Update Date : 06/13/2017

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Directions to “TENNESSEE ONCOLOGY, PLLC ” Practice Location

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