| Internal Medicine Clinic Of Canton, Inc | |
|
1116 Forest Ave Jackson MS 39206-3216 | |
| (601) 750-8376 | |
| Not Available |
| Full Name | Internal Medicine Clinic Of Canton, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1116 Forest Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Louis James Saddler (OWNER) |
| Authorized Official Contact | 6017508376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Clinic Of Canton, Inc Po Box 9178 Russellville AR 72811-9178 Ph: (479) 498-6700 | Internal Medicine Clinic Of Canton, Inc 1116 Forest Ave Jackson MS 39206-3216 Ph: (601) 750-8376 |
| NPI Number | 1669917068 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669917068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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