Organization
CANTONS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE VOGT (MEDICAL PRACTICE MANAGER)
(601) 859-8992
Entity
Organization
Contact information
Practice address
1883 HIGHWAY 43 SOUTH, SUITE D, CANTON, MS 39046
(601) 859-8992
(601) 855-5265
Mailing address
1883 HIGHWAY 43 SOUTH, SUITE D, CANTON, MS 39046
(601) 859-8992
(601) 855-5265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
213E00000X
Podiatrist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014799
—
MS
Enumeration date
08/31/2006
Last updated
09/11/2025
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