Robert M Cannon MD LLC
NPI #1174067250 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1174067250
- Entity Type
- Organization
- Organization Name
- Robert M Cannon MD LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 8, 2016
- Last Updated
- Dec 8, 2016
Practice Location
- Address
- 1901 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 636-0097
Authorized Official
- Name
- ROBERT CANNON, MD
- Title
- MD
- Phone
- (601) 636-0097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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