person
Dr. Michael Cannon, MD
Specialist in Virginia Beach, Virginia
NPI 1215925599

Michael Cannon is a Specialist based in Chesapeake, VA. Michael Cannon practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Michael Cannon is 1215925599 and holds a License No. 0101229742 (Virginia).

The current practice location address for Michael Cannon is 933 First Colonial Rd, Virginia Beach, VA and can be reached out via phone at 757-491-7359 and via fax at 757-491-9359. You can also correspond with Michael Cannon through the mailing address at 700 BATTLEFIELD BLVD N, CHESAPEAKE, VA - 23320-4952 (mailing address contact number: 757-491-7359).

Location: 933 First Colonial Rd, Virginia Beach, VA, 23320-4952
person
Provider Profile Details
NPI Number
1215925599
Provider Name
Michael Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
933 First Colonial Rd, Virginia Beach, VA, 23320-4952
Phone Number
757-491-7359
Fax Number
757-491-9359
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59000245 01 NC NC MEDICAID
175136 01 VA ANTHEM BCBS
175136 01 VA ANTHEM HEALTHKEEPERS
93867 01 VA OPTIMA/SENTARA
010137594 01 VA VIRGINIA PREMIER
010137594 05 VA
institution
Provider Business Practice Location Address Details
Address
933 First Colonial Rd
City
State
Zip
23454-3172
Phone Number
757-491-7359
Fax Number
757-491-9359
person
Provider Business Mailing Address Details
Address
933 First Colonial Rd
City
State
Zip
23454-3172
Phone Number
757-491-7359
Fax Number
757-491-9359
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101229742 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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