Organization · NPI-2

East Tennessee Hematology/Oncology Assoc P.C.

Clinic/Center, Oncology · Johnson City, TN

NPI number1356446298
StatusActive
Last updated in NPPESMay 9, 2011

Details

NPI
1356446298
Entity type
Organization (NPI-2)
Legal business name
East Tennessee Hematology/Oncology Assoc P.C.
Organization subpart
No
Enumeration date
Sep 14, 2006
Last updated
May 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QX0200X Clinic/Center, Oncology––Yes
332B00000X Durable Medical Equipment & Medical Supplies5883370001TN

Practice location

310 N State Of Franklin Rd
Ste 401
Johnson City, TN 37604-6008

Phone 423-926-3611 · Fax 423-926-3073

Mailing address

Po Box 3770
Johnson City, TN 37602-3770

Phone 423-926-3611 · Fax 423-926-3073

Authorized official

William R Kincaid
President
4239263611

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Oncology providers in Johnson City, TN