Organization
TENNESSEE CANCER SPECIALISTS
Active
Other names
Mitchell D. Martin, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D MARTIN M.D. (CHIEF MANAGER)
(865) 637-9330
Entity
Organization
Contact information
Practice address
9430 PARKWEST BLVD, STE 120, KNOXVILLE, TN 37923
(865) 693-2255
(865) 691-7888
Mailing address
900 E HILL AVE, STE 230, KNOXVILLE, TN 37915-2566
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
705448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4439685
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/23/2006
Last updated
07/14/2016
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