Organization
TENNESSEE CANCER SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D MARTIN M.D. (CHIEF MANAGER)
(865) 637-9330
Entity
Organization
Contact information
Practice address
400 N STATE OF FRANKLIN RD, MOUNTAIN STATE HEALTH ALLIANCE, JOHNSON CITY, TN 37604-6035
(423) 431-6447
(423) 431-6477
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/14/2016
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