Organization
TENNESSEE CANCER SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA G JENKINS (CREDENTIALING COORDINATOR)
(865) 862-0998
Entity
Organization
Contact information
Practice address
2607 KINGSTON PIKE STE 100, KNOXVILLE, TN 37919-3343
(865) 693-2255
(865) 691-7888
Mailing address
6016 BROOKVALE LN STE 200, KNOXVILLE, TN 37919-4092
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725737
—
TN
Enumeration date
11/13/2018
Last updated
04/21/2025
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