Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Grove Association

Organization General Practice Physician · NPI 1871316257

Pine Grove Association is a General Practice Physician in Canton, Mississippi. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1134 Barnes Rd
Canton, MS 39046
Phone: (601) 761-9424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1871316257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Carson — Executive Director · (601) 955-1132
NPI enumeratedNovember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 3, 2024
Mailing address1134 Barnes Rd, Canton, MS 39046-0036

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