Canton Cardiology Clinic

NPI #1922299759 in Canton, Mississippi

Provider Information

NPI Number: 1922299759
Entity Type: Organization
Organization Name: Canton Cardiology Clinic
Primary Specialty: Family Medicine
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 1421 E PEACE ST
Address 2: SUITE D
City: Canton
State: Mississippi
ZIP Code: 39046-4938
Phone: (601) 855-0231

Authorized Official

Name: BRAD SINCLAIR
Title: REGIONAL MANAGER
Phone: (601) 936-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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