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Organization

UPPER CUMBERLAND ONCOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALGIS P SIDRYS M.D. (MEDICAL DIRECTOR)
(931) 783-2497
Entity
Organization

Contact information

Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 646-2497
(931) 646-5757
Mailing address
PO BOX 827, COOKEVILLE, TN 38503-0827
(931) 783-2497
(931) 783-5757

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3733318
TN
Enumeration date
07/23/2006
Last updated
11/05/2009
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