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Organization
S. CANNON MEDICAL P.A.
Active
Organization
S. CANNON MEDICAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M PECKINPAUGH MD (PRESIDENT)
(704) 938-4886
Entity
Organization
Contact information
Practice address
2402 S. CANNON BLVD., KANNAPOLIS, NC 28083
(704) 938-4886
(704) 938-5644
Mailing address
2402 S. CANNON BLVD., KANNAPOLIS, NC 28083
(704) 938-4886
(704) 938-5644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189F
BLUE CROSS
NC
05
—
890189F
—
NC
05
—
8966442
—
NC
Enumeration date
10/18/2006
Last updated
09/05/2008
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