Organization
SOUTHERN ONCOLOGY SPECIALISTS PC
Active
Other names
Clarksville Regional Hematology Oncology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W BUTLER MD (OWNER)
(615) 373-5544
Entity
Organization
Contact information
Practice address
6144 BRENTWOOD CHASE DR, BRENTWOOD, TN 37027-4443
(615) 373-5544
Mailing address
6144 BRENTWOOD CHASE DR, BRENTWOOD, TN 37027-4443
(615) 373-5544
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
13534
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136553
BLUE CROSS
TN
05
—
3065691
—
TN
Enumeration date
11/21/2006
Last updated
08/22/2020
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