Cannon, Douglas Todd

Cannon, Douglas Todd is an individual health care provider with primary practice located at 8000 Centerview Pkwy Suite 500, Cordova TN 38018-4227. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Cannon, Douglas Todd can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
8000 Centerview Pkwy Suite 500 Cordova TN 38018-4227
Phone: (901) 759-3100
Fax: (901) 759-3196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 22876 Mississippi
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 50010 Tennessee

Profile Details

NPI number 1376569210
LBN Legal business name Cannon, Douglas Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 16th, 2023 - about 2 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 1376569210 NPPES
Mississippi MEDICAID 05254852
Mississippi MEDICAID Q004010
Mississippi MEDICAID 199076001
Mississippi MEDICAID 100295624

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