Organization
ONCOLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J KOVALIC M.D. (PRESIDENT)
(731) 425-6250
Entity
Organization
Contact information
Practice address
708 W FOREST AVE, RADIATION ONCOLOGY DEPT, JACKSON, TN 38301-3901
(731) 425-6250
(731) 425-6858
Mailing address
1804 HIGHWAY 45 BYP, SUITE 607, JACKSON, TN 38305-4436
(731) 668-5335
(731) 668-6670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073988
—
TN
Enumeration date
10/06/2006
Last updated
08/22/2020
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