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NPI Code Detail

MEDICARE: TENNESSEE CANCER SPECIALISTS PLLC

MEDICARE: TENNESSEE CANCER SPECIALISTS 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
1207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1568519049
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE CANCER SPECIALISTS PLLC
Provider Business Mailing Address
First Line : PO BOX 10988
Second Line :
City : KNOXVILLE
State : TN
Zip : 37939-0988
Country : US
Telephone Number : 865-862-0998
Fax Number : 865-544-1861
Provider Business Practice Location Address
First Line : 1850 OLD KNOXVILLE RD
Second Line : CLAIBORNE COUNTY HOSPITAL
City : TAZEWELL
State : TN
Zip : 37879-3625
Country : US
Telephone Number : 865-934-5800
Fax Number : 865-934-5801
Authorized Official
Title or Position : CHIEF MANAGER PHYSICIAN
Name : DR. MITCHELL D MARTIN
Credential : M.D.
Telephone Number : 865-637-9330
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/14/2016

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Directions to “TENNESSEE CANCER SPECIALISTS PLLC ” Practice Location

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