# ATHENS REGIONAL CANCER CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316178577
- **Authorized official:** DR. LISA J VIROSTEK M.D. (PRESIDENT)
- **Authorized official phone:** (423) 472-2171

## Contact information

- **Practice address:** 680 S WHITE ST, ATHENS, TN 37303-4609
- **Practice address phone:** (423) 252-1580
- **Practice address fax:** (423) 472-0060
- **Mailing address:** 680 S WHITE ST, P.O. BOX 1814, ATHENS, TN 37303-4609
- **Mailing address phone:** (423) 252-1580
- **Mailing address fax:** (423) 472-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 204 | TN | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 06/22/2016