Organization
EAST TENNESSEE ONCOLOGY PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALEIGH GREEN M.B.A. (BUSINESS MANAGER)
(423) 431-6197
Entity
Organization
Contact information
Practice address
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER, JOHNSON CITY, TN 37604-6035
(423) 431-6797
(423) 431-6060
Mailing address
PO BOX 639, MOUNTAIN HOME, TN 37684-0639
(423) 431-6197
(423) 431-6060
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD36692
TN
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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