Organization
CANNON RIDGE DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CANNON (OWNER)
(252) 617-7974
Entity
Organization
Contact information
Practice address
11560 NC 55 HWY STE 7, GRANTSBORO, NC 28529-9447
(252) 242-0088
(252) 631-0340
Mailing address
77 MAGNOLIA WAY, GRANTSBORO, NC 28529-9457
(252) 617-7974
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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