Family Cancer Center, Pllc, NPI 1407862899
Specialist in Southaven, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1407862899
NPI Entity Type Organization
Provider Name Family Cancer Center, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 391 Southcrest Cir, Suite 101, Southaven, MS, US
Provider Mailing Address P.o. Box 5111, Memphis, TN, US, 381015111
Is Sole Proprietor? No
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Organization Official

Official Name M.D. William K Walsh
Official Position MANAGING PHYSICIAN
Phone 901-685-5655

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

License No. 19652
License State TN
Description 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.

Business Address

Family Cancer Center, Pllc
391 Southcrest Cir
Suite 101

Southaven, MS, US

Phone: 662-349-0755
Fax: 662-349-0356

Mailing Address

Family Cancer Center, Pllc
P.o. Box 5111
Memphis, TN, US
ZIP 381015111
Phone: 901-685-5655
Fax: 901-685-2590

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

18137 MS No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
090015910 MS MEDICAID 05
0090015910 MS MEDICAID 05
CK3826 MS RRMCR 01

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

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Ellisville, MS

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