Charles Ron Cannon in Jackson - Otolaryngology/facial Plastic Surgery

Charles Ron Cannon - NPI 1437269479

Charles Ron Cannon is a Otolaryngology/facial Plastic Surgery in Jackson, Mississippi. Charles Ron Cannon practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Charles Ron Cannon is 1437269479. The last update date is 2013-04-24.

Charles Ron Cannon's current location address is Po Box 5345, Jackson, Mississippi. You can contact this provider via phone number 6019325244 and fax number 6019390545. The mailing address for Charles Ron Cannon is Po Box 5345, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Ron Cannon
Address Po Box 5345, Jackson, Mississippi
Phone Number 6019325244
Fax Number 6019390545
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1437269479
Provider Enumeration Date 2006-08-30
Last Updated Date 2013-04-24

Provider Mailing Address Detail

Address Po Box 5345
City Jackson
State Mississippi (MS)
Post Code 39296
Phone Number 6019325244
Fax Number 6019390545

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 7635
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8553384 MS --

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FAQs about Charles Ron Cannon

What is the unique 10-digit identification code issued to Charles Ron Cannon by the Centers for Medicare & Medicaid Services?

The Charles Ron Cannon has been assigned the NPI (National Provider Identifier) 1437269479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Charles Ron Cannon?

The Charles Ron Cannon is situated at Po Box 5345, in the city of Jackson, state of MS, with the zip code 39296.

What is the Charles Ron Cannon's specialty and taxonomy code?

The Charles Ron Cannon's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.

On what date did the Charles Ron Cannon receive its 1437269479 assignment from the Centers for Medicare & Medicaid Services?

The Charles Ron Cannon was assigned its 1437269479 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information regarding Charles Ron Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Ron Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-24.

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