Cannon Ridge Diagnostic, LLC
NPI #1033736822 in Grantsboro, North Carolina
Provider Information
- NPI Number
- 1033736822
- Entity Type
- Organization
- Organization Name
- Cannon Ridge Diagnostic, LLC
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Jun 29, 2020
- Last Updated
- Jun 29, 2020
Practice Location
- Address
- 11560 NC 55 HWY STE 7
- City
- Grantsboro
- State
- North Carolina
- ZIP Code
- 28529-9447
- Phone
- (252) 242-0088
Authorized Official
- Name
- ERIC CANNON
- Title
- OWNER
- Phone
- (252) 617-7974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
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