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Search › Tennessee › 183500000X

Charlease Cannon

NPI 1700469749 · on the registry since 2021 · sole proprietor

Practice

Address
1100 S Dupree Ave
Brownsville, TN 38012
Phone
(731) 772-6283
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-28

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