Individual
TYLER AUSTIN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1244 PRIMACY PKWY, MEMPHIS, TN 38119-0201
(901) 767-8662
(901) 767-8666
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
51585
TN
207XS0106X
Orthopaedic Hand Surgery Physician
51585
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51585
TN LICENSE
TN
Enumeration date
03/27/2008
Last updated
10/08/2021
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