Individual
MR. JOSEPH M CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22281 US HWY 72 E, SUITE B AND C, ATHENS, AL 35613
(256) 233-2158
(256) 230-6825
Mailing address
22281 US HWY 72 E, SUITE B AND C, ATHENS, AL 35613
(256) 233-2158
(256) 230-6825
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
7009
AL
2085N0700X
Neuroradiology Physician
7009
AL
2085P0229X
Pediatric Radiology Physician
7009
AL
2085R0202X
Diagnostic Radiology Physician
7009
AL
2085R0203X
Therapeutic Radiology Physician
7009
AL
2085R0204X
Vascular & Interventional Radiology Physician
7009
AL
2085U0001X
Diagnostic Ultrasound Physician
7009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09936176
—
AL
01
—
515-33320
BLUE CROSS BLUE SHIELD OF AL (VIA: THE HEART CENTER)
AL
05
—
CA009904395
—
AL
Enumeration date
01/04/2006
Last updated
04/22/2009
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