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Organization
PROTON THERAPY CENTER, LLC
Active
Organization
PROTON THERAPY CENTER, LLC
Active
Other names
Provision Center for Proton Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU DUBOIS (PRESIDENT)
(865) 684-2606
Entity
Organization
Contact information
Practice address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
(865) 862-1600
Mailing address
1400 DOWELL SPRINGS BLVD, SUITE 350, KNOXVILLE, TN 37909-2456
(865) 342-4518
(865) 321-4555
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/19/2013
Last updated
11/22/2013
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