Cannon, Charles Ron

Cannon, Charles Ron is an individual health care provider with primary practice located at 1038 River Oaks Dr , Flowood MS 39232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Cannon, Charles Ron can be contacted via phone (601) 932-5244.

Contact Information

Primary practice address
1038 River Oaks Dr Flowood MS 39232
Phone: (601) 932-5244
Fax: (601) 939-0545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 07635 Mississippi

Profile Details

NPI number 1437269479
LBN Legal business name Cannon, Charles Ron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437269479 NPPES
Mississippi MEDICAID 08553384

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