Provider Demographics
NPI:1629492772
Name:UPPER CUMBERLAND ONCOLOGY
Entity Type:Organization
Organization Name:UPPER CUMBERLAND ONCOLOGY
Other - Org Name:ALGIS P SIDRYS, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-783-2086
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38503
Mailing Address - Country:US
Mailing Address - Phone:931-783-2477
Mailing Address - Fax:931-783-5757
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4294
Practice Address - Country:US
Practice Address - Phone:931-783-2477
Practice Address - Fax:931-783-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29177207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty