Cannon, Tyler Austin

Cannon, Tyler Austin is an individual health care provider with primary practice located at 1244 Primacy Pkwy , Memphis TN 38119-0201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cannon, Tyler Austin can be contacted via phone (901) 767-8662.

Contact Information

Primary practice address
1244 Primacy Pkwy Memphis TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 767-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 51585 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 51585 Tennessee

Profile Details

NPI number 1891967147
LBN Legal business name Cannon, Tyler Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Oct 8th, 2021 - about 3 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 1891967147 NPPES
Tennessee Other 51585 TN LICENSE

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