Organization
FAMILY CANCER CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT EARLE WEEKS M.D. (MANAGING PHYSICIAN)
(901) 850-0272
Entity
Organization
Contact information
Practice address
1350 SUNSET DR, SUITE B, GRENADA, MS 38901-4079
(866) 357-7738
Mailing address
PO BOX 242173, MEMPHIS, TN 38124-2173
(901) 850-0272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15502
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3826
RRMCR
MS
Enumeration date
07/29/2006
Last updated
04/20/2008
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