DR. Jack Russell Cannon II, M.D.
NPI #1619030327 in Edgefield, South Carolina
Provider Information
- NPI Number
- 1619030327
- Entity Type
- Individual
- Name
- DR. Jack Russell Cannon II, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- M.D.
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 300 RIDGE MEDICAL PLAZA
- City
- Edgefield
- State
- South Carolina
- ZIP Code
- 29824-9986
- Phone
- (803) 637-1175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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