Organization
TENNESSEE CANCER SPECIALISTS PLLC
Active
Other names
Tennessee Cancer Specialists Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL MARTIN MD (CHIEF MANAGER PHYSICIAN)
(865) 637-9330
Entity
Organization
Contact information
Practice address
1415 OLD WEISGARBER RD STE 200, KNOXVILLE, TN 37909-1341
(865) 934-5806
(865) 934-5816
Mailing address
900 E HILL AVE, SUITE 230, KNOXVILLE, TN 37915-2566
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4721
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122184
PK
—
Enumeration date
10/07/2009
Last updated
06/21/2016
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