Cantons Physician Group
Nurse Practitioner in Canton, MS. Organization (NPI-2).
NPI number1619088838
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1619088838
- Entity type
- Organization (NPI-2)
- Legal business name
- Cantons Physician Group
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 213E00000X | Podiatrist | – | – |
Practice location
1883 Highway 43 SouthSuite D
Canton, MS 39046
Phone 601-859-8992 · Fax 601-855-5265
Mailing address
1883 Highway 43 SouthSuite D
Canton, MS 39046
Phone 601-859-8992 · Fax 601-855-5265
Authorized official
Debbie Vogt
Medical Practice Manager
6018598992
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