Provider Demographics
NPI:1912053760
Name:KNOXVILLE GYNECOLOGIC CANCER SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:KNOXVILLE GYNECOLOGIC CANCER SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-218-6000
Mailing Address - Street 1:10810 PARKSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1983
Mailing Address - Country:US
Mailing Address - Phone:865-218-6000
Mailing Address - Fax:865-218-6001
Practice Address - Street 1:10810 PARKSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1983
Practice Address - Country:US
Practice Address - Phone:865-218-6000
Practice Address - Fax:865-218-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26883207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN160026625OtherMEDICARE RAILROAD
TN1515280Medicaid
TN30925231Medicare PIN
TNC85333Medicare UPIN
TN3041673Medicare PIN
TN160026625OtherMEDICARE RAILROAD