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Jacob Cannon
NPI 1194440750 · on the registry since 2022
Practice
- Address
- 194 Jacobs Hwy
Clinton, SC 29325 - Phone
- (864) 833-5000
- Organisation at this address
- South Carolina Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina