Provider Demographics
NPI:1235458159
Name:FAMILY CANCER CENTER PLLC
Entity Type:Organization
Organization Name:FAMILY CANCER CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-685-5655
Mailing Address - Street 1:6005 PARK AVE
Mailing Address - Street 2:SUITE 1000-B
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5202
Mailing Address - Country:US
Mailing Address - Phone:901-685-5655
Mailing Address - Fax:888-208-1097
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 1000-B
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-685-5655
Practice Address - Fax:888-208-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site