Organization
TENNESSEE BREAST CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA E TREKELL M.D.,FACS, M.B.A. (PRESIDENT)
(856) 984-9282
Entity
Organization
Contact information
Practice address
1111 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5130
(865) 984-9282
(865) 981-1716
Mailing address
1111 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5130
(865) 984-9282
(865) 981-1716
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0234636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730971
—
TN
Enumeration date
05/14/2007
Last updated
08/22/2020
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