Organization
CANCER OUTREACH ASSOCIATES OF TENNESSEE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORREST SWAN JR. M.D. (PRESIDENT)
(276) 676-1860
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PARK DR, MCPP #1, SUITE 18, JOHNSON CITY, TN 37604-6587
(423) 926-0063
(423) 926-0073
Mailing address
104 ABINGDON PL, ABINGDON, VA 24211-5197
(276) 676-1860
(276) 628-2917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28068
TN
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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