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Organization
THOMPSON CANCER SURVIVAL CENTER
Active
Organization
THOMPSON CANCER SURVIVAL CENTER
Active
Parent organization
COVENANT HEALTH
Other names
Radiation
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT HEALTH
Authorized official
MRS. MITZI ANDERSON (VICE PRESIDENT, CFO)
(865) 541-1485
Entity
Organization
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1485
(865) 541-2564
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1485
(865) 541-2564
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
00000171
TN
261QX0203X
Radiation Oncology Clinic/Center
00000196
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G706246
PTAN
TN
05
—
103G706246
—
TN
Enumeration date
06/15/2006
Last updated
10/06/2011
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