Search › Mississippi › 363LF0000X
Mickey Cannon
NPI 1982527131 · on the registry since 2026
Practice
- Address
- 1010 W Monroe St Apt 4h
Grenada, MS 38901 - Phone
- (662) 983-0487
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi