Organization
PREMIER RADIATION ONCOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVAS BOPPANA M.D. (PRESIDENT)
(865) 545-3110
Entity
Organization
Contact information
Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4505
(865) 545-7817
Mailing address
PO BOX 16506, CHAPEL HILL, NC 27516-6506
(866) 457-5196
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/01/2007
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