person
Mr. Benjamin Chad Cannon, CPRS
Addiction Medicine (Internal Medicine) Physician in Johnson City, Tennessee
NPI 1275205437

Benjamin Chad Cannon is an Addiction Medicine (Internal Medicine) Physician based in Johnson City, TN and is specialized in Addiction Medicine. Benjamin Chad Cannon practices in Johnson City, TN and has the professional credentials of CPRS. The NPI Number for Benjamin Chad Cannon is 1275205437 and holds a License No. L000000027637 (Tennessee).

The current practice location address for Benjamin Chad Cannon is 2408 Susannah St, Johnson City, TN and can be reached out via phone at 423-434-6677.

Location: 2408 Susannah St, Johnson City, TN, 37601-1866
person
Provider Profile Details
NPI Number
1275205437
Provider Name
Benjamin Chad Cannon
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
2408 Susannah St, Johnson City, TN, 37601-1866
Phone Number
423-434-6677
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2408 Susannah St
City
State
Zip
37601-1732
Phone Number
423-434-6677
Fax Number
person
Provider Business Mailing Address Details
Address
2408 Susannah St
City
State
Zip
37601-1732
Phone Number
423-434-6677
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
L000000027637 (Tennessee)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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