Individual
SUSAN STRONG CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 SUMMER TRACE BLVD, LAUREL, MS 39440-2510
(601) 649-5390
Mailing address
15 SUMMER TRACE BLVD, LAUREL, MS 39440-2510
(601) 649-5390
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9090
MS
Other
Enumeration date
10/11/2006
Last updated
07/09/2007
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