SearchTennessee183500000X

Derek Cannon

NPI 1457750614 · on the registry since 2014 · sole proprietor

Practice

Address
1114 E Main St
Brownsville, TN 38012
Phone
(731) 772-1170
Organisation at this address
Walgreen Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-15

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 Tennessee