Organization
ATHENS REGIONAL CANCER CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J VIROSTEK M.D. (PRESIDENT)
(423) 472-2171
Entity
Organization
Contact information
Practice address
680 S WHITE ST, ATHENS, TN 37303-4609
(423) 252-1580
(423) 472-0060
Mailing address
680 S WHITE ST, P.O. BOX 1814, ATHENS, TN 37303-4609
(423) 252-1580
(423) 472-0060
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
204
TN
Other
Enumeration date
08/05/2009
Last updated
06/22/2016
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