Organization · Type 2 NPI

Family Cancer Center, PLLC

Specialist · Southaven, MS

NPI number 1407862899 Active

Practice location

391 Southcrest Cir, Suite 101
Southaven, MS 38671-4848

Call (662) 349-0755 Map

Fax (662) 349-0356

Mailing address

P.o. Box 5111
Memphis, TN 38101-5111

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19652 (TN)
Hematology & Oncology Physician 207RH0003X18137 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407862899

Family Cancer Center, PLLC's National Provider Identifier is 1407862899, issued on Jul 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southaven, MS. The record was last updated on Mar 9, 2011.