Organization
TENNESSEE CANCER SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA G JENKINS (CREDENTIALING COORDINATOR)
(865) 862-0998
Entity
Organization
Contact information
Practice address
4 SHERIDAN SQ STE 102, KINGSPORT, TN 37660-7435
(423) 588-7140
(423) 588-7141
Mailing address
6016 BROOKVALE LN STE 200, KNOXVILLE, TN 37919-4092
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
04/21/2025
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