Provider Demographics
NPI:1235598558
Name:EAST TENNESSEE CANCER & BLOOD CENTER,PC
Entity Type:Organization
Organization Name:EAST TENNESSEE CANCER & BLOOD CENTER,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-787-7080
Mailing Address - Street 1:110 CORPORATE DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2008
Mailing Address - Country:US
Mailing Address - Phone:423-282-0534
Mailing Address - Fax:423-282-2064
Practice Address - Street 1:1406 TUSCULUM BLVD
Practice Address - Street 2:SUITE 2000
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4332
Practice Address - Country:US
Practice Address - Phone:423-787-7080
Practice Address - Fax:423-787-7087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty