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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
1261QP1100XPodiatric Clinic/Center
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1730130436
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE ONCOLOGY PLLC
Provider Business Mailing Address
First Line : PO BOX 440100
Second Line :
City : NASHVILLE
State : TN
Zip : 37244-0100
Country : US
Telephone Number : 615-329-0570
Fax Number :
Provider Business Practice Location Address
First Line : 660 S MOUNT JULIET RD STE 230
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3923
Country : US
Telephone Number : 615-874-9667
Fax Number :
Authorized Official
Title or Position : PAYER RELATIONS MGR
Name : PATTIE Y DOUGLAS
Credential :
Telephone Number : 615-514-6876
Provider Enumeration Date : 05/15/2006
Last Update Date : 04/29/2025

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Directions to “TENNESSEE ONCOLOGY PLLC ” Practice Location

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