Individual
JOHN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 WEST 4TH NORTH STREET, DEPT OF RADIATION ONCOLOGY, MORRISTOWN, TN 37814-3894
(423) 522-5000
(423) 522-4901
Mailing address
DEPT 888025, KNOXVILLE, TN 37995-8025
(512) 583-0205
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD35666
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3867352
—
TN
01
—
920006665
RAILROAD MEDICARE
TN
Enumeration date
02/08/2006
Last updated
12/14/2009
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