Organization
TENNESSEE ONCOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTIE W DOUGLAS (PAYER RELATIONS MANAGER)
(615) 514-3042
Entity
Organization
Contact information
Practice address
4700 BATTLEFIELD PKWY, SUITE 230, RINGGOLD, GA 30736-5166
(706) 406-0091
(706) 406-0098
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 986-4102
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131276A
—
GA
05
—
3709319
—
TN
Enumeration date
01/28/2013
Last updated
06/13/2017
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