Canton Primary Care Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

08627 Issued in MS

Legal business name

CANTON PRIMARY CARE CLINIC

Practice address

1883 Highway 43 S
Suite D
Canton, MS 39046-8405

Phone

(601) 667-3492

Fax

(601) 667-3510

NPI assigned

Sep 9, 2009

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Louis Saddler, M.D.

Title

Manager

Phone

(601) 667-3492

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1629301536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468405",
            "telephone_number": "601-667-3492",
            "fax_number": "601-667-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S",
            "address_2": "SUITE D",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468405",
            "telephone_number": "601-667-3492",
            "fax_number": "601-667-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "SADDLER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-667-3492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "08627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Canton Ms Opco LLC
• Canton Ms Operating LLC (Madison Court)
• Canton Public School District
• Canton Vision Clinic, P.a.
• Cantons Physician Group
• Capital Emergency Physicians Madison PLLC
• Michael Caples, ED.S.,

• Internal Medicine Physician in Canton, MS
• Providers in Canton, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.