BENJAMIN CHAD CANNON

JOHNSON CITY, TN
NPI1275205437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
(Licence: TN  L000000027637)
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
Mr. BENJAMIN CHAD CANNON CPRS
2408 SUSANNAH ST
JOHNSON CITY, TN 37601-1732
Phone number: 423-434-6677
Mailing Address
Mr. BENJAMIN CHAD CANNON CPRS
2424 E LAKEVIEW DR
JOHNSON CITY, TN 37601-1866
Phone number: 423-530-8309
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