Individual
DOUGLAS TODD CANNON
Active
Individual
DOUGLAS TODD CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
50010
TN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
22876
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05254852
—
MS
05
—
100295624
—
MS
05
—
199076001
—
AR
05
—
Q004010
—
TN
Enumeration date
07/14/2006
Last updated
02/16/2023
Update your record
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