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Organization

RADIATION ONCOLOGY SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC R ELLIS MD (OWNER)
(423) 495-3748
Entity
Organization

Contact information

Practice address
2525 DESALES AVE, SUITE 200, CHATTANOOGA, TN 37404-1161
(423) 495-3748
(423) 495-5623
Mailing address
2525 DESALES AVE, SUITE 200, CHATTANOOGA, TN 37404-1161
(423) 495-3748
(423) 495-5623

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3047075
TN
Enumeration date
07/26/2007
Last updated
07/26/2007
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