Cannon, Robert Michael

Cannon, Robert Michael is an individual health care provider with primary practice located at 1901 Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cannon, Robert Michael can be contacted via phone (601) 636-0097.

Contact Information

Primary practice address
1901 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 636-0097
Fax: (601) 629-9969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23456 Mississippi

Profile Details

NPI number 1215373139
LBN Legal business name Cannon, Robert Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2013
Last updated Apr 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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