MR. Benjamin Chad Cannon, CPRS
NPI #1275205437 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1275205437
- Entity Type
- Individual
- Name
- MR. Benjamin Chad Cannon, CPRS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Credential
- CPRS
- Enumeration Date
- Oct 5, 2021
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 2408 SUSANNAH ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1732
- Phone
- (423) 434-6677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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Organizations
| Provider Name | |
|---|---|
| East Tennessee Recovery, Pllc |
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