Family Cancer Center, Pllc, NPI 1407862899
Specialist in Southaven, MS, US
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 |
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 | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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