# FAMILY CANCER CENTER, PLLC

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

## Provider details

- **NPI number:** 1790790715
- **Authorized official:** WILLIAM K WALKSH M.D. (MANAGING PHYSICIAN)
- **Authorized official phone:** (901) 685-5655

## Contact information

- **Practice address:** 440 WILKINSON DR, DYERSBURG, TN 38024-2085
- **Practice address phone:** (901) 379-0703
- **Practice address fax:** (901) 379-0532
- **Mailing address:** P.O. BOX 5111, MEMPHIS, TN 38101-5111
- **Mailing address phone:** (901) 685-5655
- **Mailing address fax:** (901) 685-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 015925 | TN | — |
| 207RH0003X | Hematology & Oncology Physician | MD0000015925 | TN | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 03/09/2011
