Organization
TENNESSEE CANCER SPECIALISTS PLLC
Active
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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