| NPI | 1275966889 |
|---|---|
| Doing Business As | PROVISION CENTER FOR PROTON THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY LOU DUBOIS President 865-684-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-11-22 |