Organization
FAMILY CANCER CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE COLLINS (CREDENTIALING)
(901) 685-5655
Entity
Organization
Contact information
Practice address
6005 PARK AVE, 1000-B, MEMPHIS, TN 38119-5202
(901) 685-5655
Mailing address
6005 PARK AVE, 1000-B, MEMPHIS, TN 38119-5202
(901) 685-5655
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
19711
MS
Other
Enumeration date
12/29/2010
Last updated
10/22/2014
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