# EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C.

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

## Provider details

- **NPI number:** 1356446298
- **Authorized official:** WILLIAM R KINCAID M.D. (PRESIDENT)
- **Authorized official phone:** (423) 926-3611

## Contact information

- **Practice address:** 310 N STATE OF FRANKLIN RD, STE 401, JOHNSON CITY, TN 37604-6008
- **Practice address phone:** (423) 926-3611
- **Practice address fax:** (423) 926-3073
- **Mailing address:** PO BOX 3770, JOHNSON CITY, TN 37602-3770
- **Mailing address phone:** (423) 926-3611
- **Mailing address fax:** (423) 926-3073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5883370001 | TN | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 05/09/2011