| NPI | 1679847917 |
|---|---|
| Doing Business As | PROVISION RADIATION THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W LANGENBERG Executive Director 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2024-09-19 |