Pine Grove Association
Pine Grove Association provides General Practice Physician services in Canton, Mississippi. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1134 Barnes RdCanton, MS 39046
Phone: (601) 761-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1871316257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Carson — Executive Director · (601) 955-1132 |
| NPI enumerated | November 5, 2024 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 1134 Barnes Rd, Canton, MS 39046-0036 |
Other providers in Canton
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Mr. Hess Hembree IV, CO-PRESIDENT
156 River Oaks Dr, Canton, MS 39046-5376 · (601) 855-5287