Organization
ROBERT M CANNON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CANNON MD (MD)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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