# FAMILY CANCER CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013211416
- **Authorized official:** DENISE COLLINS (CREDENTIALING)
- **Authorized official phone:** (901) 685-5655

## Contact information

- **Practice address:** 6005 PARK AVE, 1000-B, MEMPHIS, TN 38119-5202
- **Practice address phone:** (901) 685-5655
- **Mailing address:** 6005 PARK AVE, 1000-B, MEMPHIS, TN 38119-5202
- **Mailing address phone:** (901) 685-5655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 19711 | MS | Yes |

## Other

- **Enumeration date:** 12/29/2010
- **Last updated:** 10/22/2014