# CANCER CARE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarksville Cancer Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265628226
- **Authorized official:** JIGAR KANUBHAI SHAH MD (PRESIDENT)
- **Authorized official phone:** (931) 802-8056

## Contact information

- **Practice address:** 274 CLEAR SKY CT, CLARKSVILLE CANCER CARE, CLARKSVILLE, TN 37043-5653
- **Practice address phone:** (931) 802-8056
- **Practice address fax:** (931) 802-8059
- **Mailing address:** 404 SAVANNAH TRACE DR, CLARKSVILLE, TN 37043-5442
- **Mailing address phone:** (931) 802-8056
- **Mailing address fax:** (931) 802-8059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 39642 | TN | Yes |

## Other

- **Enumeration date:** 09/23/2007
- **Last updated:** 11/17/2009