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Organization

COLUMBIA CANCER INSTITUE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SATTASIRI MD (PHYSICIAN)
(931) 380-4057
Entity
Organization

Contact information

Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 380-4057
(931) 540-4224
Mailing address
PO BOX 158, HOHENWALD, TN 38462-0158
(931) 796-7881
(931) 796-7379

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3731439
MEDICARE GROUP ID
TN
Enumeration date
01/09/2008
Last updated
01/09/2008
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