Family Cancer Center, PLLC
Internal Medicine, Hematology & Oncology in Dyersburg, TN. Organization (NPI-2).
NPI number1790790715
StatusActive
Last updated in NPPESMar 9, 2011
Details
- NPI
- 1790790715
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Cancer Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2006
- Last updated
- Mar 9, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | MD0000015925 | TN | Yes |
| 174400000X | Specialist | 015925 | TN |
Practice location
440 Wilkinson DrDyersburg, TN 38024-2085
Phone 901-379-0703 · Fax 901-379-0532
Mailing address
P.O. Box 5111Memphis, TN 38101-5111
Phone 901-685-5655 · Fax 901-685-2590
Authorized official
William K Walksh
Managing Physician
9016855655
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