Blount Radiation Oncology Associates, PLLC
in Maryville, TN. Organization (NPI-2).
NPI number1992331433
StatusActive
Last updated in NPPESMay 27, 2020
Details
- NPI
- 1992331433
- Entity type
- Organization (NPI-2)
- Legal business name
- Blount Radiation Oncology Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2020
- Certification date
- May 27, 2020
- Last updated
- May 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes |
Practice location
907 E Lamar Alexander PkwyMaryville, TN 37804-5015
Phone 865-977-5534 · Fax 865-981-2154
Mailing address
Po Box 4156Maryville, TN 37802-4156
Phone 865-273-1752 · Fax 865-273-1755
Authorized official
Maikel Botros
Owner
4238380077
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