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Contact Information

VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC
375 ALFRED THUN RD
CLARKSVILLE, TN37040-5339
 Phone: 931-221-0479
 Fax: 931-221-3280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for VANDERBILT INGRAM CANCER CENTER CLARKSVILLE LLC · (Female)

NPI Number 1295832525
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 02/04/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 3733547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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