# CANTON PRIMARY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629301536
- **Authorized official:** DR. LOUIS SADDLER M.D. (MANAGER)
- **Authorized official phone:** (601) 667-3492

## Contact information

- **Practice address:** 1883 HIGHWAY 43 S, SUITE D, CANTON, MS 39046-8405
- **Practice address phone:** (601) 667-3492
- **Practice address fax:** (601) 667-3510
- **Mailing address:** 1883 HIGHWAY 43 S, SUITE D, CANTON, MS 39046-8405
- **Mailing address phone:** (601) 667-3492
- **Mailing address fax:** (601) 667-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 08627 | MS | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 09/28/2009