Organization
TENNESSEE CANCER SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL D MARTIN M.D. (CHIEF MANAGER PHYSICIAN)
(865) 637-9330
Entity
Organization
Contact information
Practice address
110 HOSPITAL DR, ST MARY'S JEFFERSON MEMORIAL HOSPITAL, JEFFERSON CITY, TN 37760-5281
(865) 934-5800
(865) 934-5801
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0988
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/14/2016
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