Individual
MR. GREGORY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 317-2092
Mailing address
PO BOX 3109, WILSON, NC 27895-3109
(252) 291-8523
(252) 291-9110
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
960004
NC
Other
Enumeration date
03/15/2006
Last updated
09/30/2020
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