Organization
THOMPSON CANCER SURVIVAL CENTER
Active
Other names
Breast
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI MCCULLOUGH CPA , MHSA (VICE PRESIDENT, CFO)
(865) 531-5288
Entity
Organization
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-2028
(865) 541-1281
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-2028
(865) 541-1281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000000171
TN
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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