Tennessee Plateau Oncology Pllc
LBN: Tennessee Plateau Oncology Pllc
Tennessee Plateau Oncology Pllc is an health care organization with primary practice located at 33 W Adams St , Crossville TN 38555-4836. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Tennessee Plateau Oncology Pllc can be contacted via phone (931) 484-7596, or through Davidson, Dirk C via phone (931) 484-7596.
Contact Information
Primary practice address
33 W Adams St
Crossville TN 38555-4836
Phone: (931) 484-7596
Fax: (931) 484-7597
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD21772 | Tennessee |
Profile Details
NPI number | 1053575472 |
---|---|
LBN Legal business name | Tennessee Plateau Oncology Pllc |
DBA Doing business as | |
Authorized official | Davidson, Dirk C Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 15th, 2008 |
Last updated | Dec 28th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053575472 | NPPES |
Tennessee | Other | P00102649 | RR MEDICARE |
Tennessee | MEDICAID | 3890077 | RR MEDICARE |
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