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Organization
RADIATION THERAPY ASSOCIATES PC
Active
Organization
RADIATION THERAPY ASSOCIATES PC
Active
Other names
CLEVELAND REGIONAL CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA JUNE VIROSTEK MD (PRESIDENT)
(423) 472-2171
Entity
Organization
Contact information
Practice address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 472-0060
Mailing address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 472-0060
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
A0602A2
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3383564
—
TN
Enumeration date
09/21/2006
Last updated
06/22/2016
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