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

Robert M Cannon MD LLC

Organization Primary Care Clinic/Center · NPI 1174067250

Robert M Cannon MD LLC is a Primary Care Clinic/Center in Vicksburg, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1901 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 636-0097
Fax: (601) 629-9969
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1174067250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cannon — Md · (601) 636-0097
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 8, 2016
Mailing address1901 Mission 66, Vicksburg, MS 39180-3711

Other providers in Vicksburg