# PROTON THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provision Center for Proton Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275966889
- **Authorized official:** MRS. MARY LOU DUBOIS (PRESIDENT)
- **Authorized official phone:** (865) 684-2606

## Contact information

- **Practice address:** 6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
- **Practice address phone:** (865) 862-1600
- **Mailing address:** 1400 DOWELL SPRINGS BLVD, SUITE 350, KNOXVILLE, TN 37909-2456
- **Mailing address phone:** (865) 342-4518
- **Mailing address fax:** (865) 321-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 11/22/2013