Eric Justin Cannon

NPI #1518295740 in Florence, South Carolina

Provider Information

NPI Number: 1518295740
Entity Type: Individual
Name: Eric Justin Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Nov 30, 2009
Last Updated: Nov 30, 2009

Practice Location

Address: 632 KING AVE
City: Florence
State: South Carolina
ZIP Code: 29501-4331
Phone: (843) 453-2891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X	Primary

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