Organization · Type 2 NPI
Provision Medical Group PLLC
Radiation Oncology Clinic/Center · Knoxville, TN
NPI number
1063774453
Active
Practice location
1450 Dowell Springs Blvd Ste 250
Knoxville, TN 37909-2444
Fax (865) 684-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Clinic/Center Primary | 261QX0203X | None listed |
Radiation Oncology Clinic/Center: Definition to come...
Other radiation oncology clinic/center providers in Knoxville
About NPI 1063774453
Provision Medical Group PLLC's National Provider Identifier is 1063774453, issued on Jun 12, 2012. The primary taxonomy on file is Radiation Oncology Clinic/Center (261QX0203X), and the practice location is in Knoxville, TN. The record was last updated on Jun 12, 2012.