Organization
PROTON THERAPY CENTER, LLC
Active
Other names
Provision Center for Proton Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU DUBOIS (PRESIDENT)
(865) 684-2606
Entity
Organization
Contact information
Practice address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
(865) 862-1600
Mailing address
1400 DOWELL SPRINGS BLVD, SUITE 350, KNOXVILLE, TN 37909-2456
(865) 342-4518
(865) 321-4555
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
11/22/2013
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