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Canton Cardiology Clinic

Organization Active NPI Family Medicine Physician · Canton, MS

NPI 1922299759 · NPPES record last updated Aug 7, 2007

Key facts

NPI
1922299759
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CANTON CARDIOLOGY CLINIC
Practice address
1421 E Peace St
Suite D
Canton, MS 39046-4938
Phone
(601) 855-0231
NPI assigned
Aug 7, 2007
Organization subpart
No

Authorized official

Name
Brad Sinclair
Title
Regional Manager
Phone
(601) 936-3102

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Canton Cardiology Clinic (7 organizations share this tax ID)

Locations

1421 E Peace St
Ste D
Canton, MS 39046
Phone (601) 855-0231

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1421 E Peace St
Suite D
Canton, MS 39046-4938

Mailing address

1421 E Peace St
Suite D
Canton, MS 39046-4938
Phone (601) 855-0231

Other providers in Canton, MS

All providers in Canton, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.