Mark Andrew Cannon in Hampton - Surgical

Mark Andrew Cannon - NPI 1215991484

Mark Andrew Cannon is a Surgical in Hampton, Virginia. Mark Andrew Cannon practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark Andrew Cannon is 1215991484. The last update date is 2007-07-08.

Mark Andrew Cannon's current location address is 100 Emancipation Dr, Hampton, Virginia. You can contact this provider via phone number 7577229961 and fax number 7577287052. The mailing address for Mark Andrew Cannon is 100 Emancipation Dr, Hampton, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Andrew Cannon
Address 100 Emancipation Dr, Hampton, Virginia
Phone Number 7577229961
Fax Number 7577287052
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1215991484
Provider Enumeration Date 2006-04-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 100 Emancipation Dr
City Hampton
State Virginia (VA)
Post Code 236670001
Phone Number 7577229961
Fax Number 7577287052

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA9101892
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Mark Andrew Cannon

What is the unique identifier code issued to Mark Andrew Cannon by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Andrew Cannon has been assigned the NPI (National Provider Identifier) 1215991484. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Mark Andrew Cannon's facilities are geographically located?

The facilities of Mark Andrew Cannon are physically situated at the following location: 100 Emancipation Dr, Hampton, VA, 236670001.

What is Mark Andrew 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 Mark Andrew Cannon is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

When did Mark Andrew Cannon receive its 1215991484 assignment?

The Mark Andrew Cannon was assigned its 1215991484 on 2006-04-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Mark Andrew Cannon most recently updated or revised?

The information pertaining to Mark Andrew Cannon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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