Individual
DR. THOMAS BENTON REPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NEW YORK AVE, OAK RIDGE, TN 37830-5212
(913) 433-7622
(913) 433-7623
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1485
(865) 541-2564
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46895
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523630
—
TN
Enumeration date
10/03/2006
Last updated
08/24/2020
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