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Organization

CANTON PRIMARY CARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS SADDLER M.D. (MANAGER)
(601) 667-3492
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08627
MS

Other

Enumeration date
09/09/2009
Last updated
09/28/2009
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