Organization
EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R KINCAID M.D. (PRESIDENT)
(423) 926-3611
Entity
Organization
Contact information
Practice address
310 N STATE OF FRANKLIN RD, STE 401, JOHNSON CITY, TN 37604-6008
(423) 926-3611
(423) 926-3073
Mailing address
PO BOX 3770, JOHNSON CITY, TN 37602-3770
(423) 926-3611
(423) 926-3073
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5883370001
TN
Other
Enumeration date
09/14/2006
Last updated
05/09/2011
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