Organization
EAST TENNESSEE RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE L JOHNSON (AUTHORIZED AGENT)
(865) 803-4321
Entity
Organization
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1155
(865) 988-5658
Mailing address
PO BOX 24120, KNOXVILLE, TN 37933-2120
(865) 803-4321
(865) 988-5658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370058
—
TN
Enumeration date
11/01/2006
Last updated
08/03/2023
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