Organization
EAST TENNESSEE RADIATION THERAPY
Active
Other names
Provision Radiation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W LANGENBERG (EXECUTIVE DIRECTOR)
(865) 584-7376
Entity
Organization
Contact information
Practice address
1415 OLD WEISGARBER RD, SUITE 250, KNOXVILLE, TN 37909-1327
(865) 684-2613
(865) 684-2611
Mailing address
PO BOX 11664, KNOXVILLE, TN 37939-1664
(865) 584-7376
(865) 540-3856
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
06/16/2025
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