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Contact Information

FAMILY CANCER CENTER, PLLC
504 AZALEA DR
SUITE A
OXFORD, MS38655-5397
 Phone: 662-236-7732
 Fax: 662-236-9642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FAMILY CANCER CENTER PLLC · (Female)

NPI # 1316951627
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2006
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 11754
  • MS License # 18137
  • MS Medicaid 0090015910
  • MS Medicaid 090015910
  • MS Other CK3826 MCR RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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