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NPI Profile for FAMILY CANCER CENTER PLLC in SOUTHAVEN, MS.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI Number | 1407862899 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/31/2006 | |
| Last updated | 03/09/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAMILY CANCER CENTER, PLLC
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FAMILY CANCER CENTER, PLLC