# TENNESSEE CANCER SPECIALISTS

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

## Provider details

- **NPI number:** 1801168562
- **Authorized official:** MITCHELL D MARTIN M.D. (CHIEF MANAGER/PHYSICIAN)
- **Authorized official phone:** (865) 637-9330

## Contact information

- **Practice address:** 2800 WESTSIDE DR NW, SKY RIDGE MEDICAL CENTER WEST CAMPUS, CLEVELAND, TN 37312-3501
- **Practice address phone:** (423) 339-0300
- **Practice address fax:** (423) 472-5687
- **Mailing address:** PO BOX 10988, KNOXVILLE, TN 37939-0988
- **Mailing address phone:** (865) 862-0998
- **Mailing address fax:** (865) 544-1861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012