Individual
DR. MILTON D CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 MARION AVE, MCCOMB, MS 39648-2707
(601) 249-1350
(601) 249-1339
Mailing address
303 MARION AVE, MCCOMB, MS 39648-2707
(601) 249-1350
(601) 249-1339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13399
MS
207RC0000X
Cardiovascular Disease Physician
Primary
13399
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115292
—
MS
Enumeration date
05/04/2006
Last updated
07/08/2013
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