Organization
CANNON FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIA B CAGGIANO (BUSNIESS MANAGER)
(704) 933-2266
Entity
Organization
Contact information
Practice address
1035 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-4481
(704) 933-2266
(704) 933-5954
Mailing address
1035 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-4481
(704) 933-2266
(704) 933-5954
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
117123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015VW
—
NC
Enumeration date
05/01/2006
Last updated
08/22/2020
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