# TENNESSEE CANCER SPECIALIST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE CANCER SPECIALIST PLLC
- **Other names:** Greeneville Office, Tennessee Cancer Specialists, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871301358
- **Legal business name:** TENNESSEE CANCER SPECIALIST PLLC
- **Authorized official:** PATRICIA G JENKINS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (865) 862-0998

## Contact information

- **Practice address:** 1665 E ANDREW JOHNSON HWY STE 2, GREENEVILLE, TN 37745-5826
- **Practice address phone:** (423) 639-0243
- **Practice address fax:** (423) 639-0629
- **Mailing address:** 900 E HILL AVE STE 230, KNOXVILLE, TN 37915-2565
- **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:** 12/30/2024
- **Last updated:** 12/30/2024