Organization
BLOUNT RADIATION ONCOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIKEL BOTROS M.D. (OWNER)
(423) 838-0077
Entity
Organization
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-5534
(865) 981-2154
Mailing address
PO BOX 4156, MARYVILLE, TN 37802-4156
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
05/27/2020
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