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FAMILY CANCER CENTER PLLC NPI 1275551012


NPI Information

NPI: 1275551012
Provider Name: FAMILY CANCER CENTER, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1936 W. POPLAR AVE
COLLIERVILLE, TN
ZIP 38017
Phone: (901) 685-5655
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FAMILY CANCER CENTER, PLLC is a specialist in Collierville, TN. The provider is 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. FAMILY CANCER CENTER, PLLC NPI is 1275551012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1936 W. POPLAR AVE
COLLIERVILLE, TN
ZIP 38017-605
Phone: (901) 685-5655
Fax: (901) 685-2590

The provider's authorized official is William K Walsh .
The authorized official title is Managing Physician and has the following contact phone number (901) 685-5655.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 3/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyMD0000015925TENNESSEENo
2174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14035183OTHERTENNESSEEBCBS
23723894MEDICARE PINTENNESSEE
3090015910MEDICAIDMISSISSIPPI
4=========OTHERMISSISSIPPIBCBS
53913140001MEDICARE NSCTENNESSEE
63723894MEDICAIDTENNESSEE
7C02685MEDICARE PINMISSISSIPPI
85C634OTHERARKANSASBCBS
9135396002MEDICAIDARKANSAS
105C634MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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