Matthew David Cannon in Spartanburg - Family Medicine
Matthew David Cannon - NPI 1851472872
Matthew David Cannon is a Family Medicine in Spartanburg, South Carolina. Matthew David Cannon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew David Cannon is 1851472872. The last update date is 2018-10-03.
Matthew David Cannon's current location address is 853 N Church St Ste 510, Spartanburg, South Carolina. You can contact this provider via phone number 8645606193 and fax number 8645601510. The mailing address for Matthew David Cannon is 853 N Church St Ste 510, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Cannon |
|---|---|
| Address | 853 N Church St Ste 510, Spartanburg, South Carolina |
| Phone Number | 8645606193 |
| Fax Number | 8645601510 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1851472872 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2018-10-03 |
Provider Mailing Address Detail
| Address | 853 N Church St Ste 510 |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293033077 |
| Phone Number | 8645606193 |
| Fax Number | 8645601510 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | LL1020 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SC98233365 | SC | MEDICARE PIN | |
| 10204 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew David Cannon by the Centers for Medicare & Medicaid Services?
The Matthew David Cannon has been assigned the NPI (National Provider Identifier) 1851472872. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Matthew David Cannon is physically located?
The Matthew David Cannon is physically situated at the following address: 853 N Church St Ste 510, Spartanburg, SC, 293033077.
What is Matthew David Cannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matthew David Cannon is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Matthew David Cannon receive the assignment of its 1851472872 from the Centers for Medicare & Medicaid Services?
The Matthew David Cannon was issued its 1851472872 by the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information related to Matthew David Cannon most recently updated or refreshed?
The details pertaining to the Matthew David Cannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-03.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA