Mr. Benjamin Chad Cannon
Internist - Addiction Medicine
2408 Susannah St
Johnson City
, Tennessee 37601-1732
Mr. Benjamin Chad Cannon
Internist - Addiction Medicine
2408 Susannah St
Johnson City
, Tennessee 37601-1732
(423) 530-8309
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mr. Benjamin Chad Cannon
- 2424 E Lakeview Dr
- Johnson City, TN
- Zip : 37601-1866
- Phone : (423) 530-8309
Second Address
- Mr. Benjamin Chad Cannon
- 2408 Susannah St
- Johnson City, TN
- Zip : 37601-1732
- Phone : (423) 434-6677
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | L000000027637 | TN |
National Provider Identifier
| NPI | 1275205437 |
|---|---|
| Provider Name | Mr. Benjamin Chad Cannon |
| First Address | Johnson City, TN 37601-1866 |
| Second Address | Johnson City, TN 37601-1732 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.