Internal Medicine Clinic of Canton, INC
NPI #1669917068 in Jackson, Mississippi
Provider Information
- NPI Number
- 1669917068
- Entity Type
- Organization
- Organization Name
- Internal Medicine Clinic of Canton, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 21, 2016
- Last Updated
- Dec 21, 2016
Practice Location
- Address
- 1116 FOREST AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-3216
- Phone
- (601) 750-8376
Authorized Official
- Name
- LOUIS JAMES SADDLER, MD
- Title
- OWNER
- Phone
- (601) 750-8376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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