Doctor Name: | DR. JIMMIE DALE CANNON |
NPI Number: | 1033182043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14897 |
Business Practice Address: | 220 J.l. White Drive Suite 100 Jasper, GA - 301434894 |
Business Phone Number: | 7062538001 |
Business Fax Number: | 7062538002 |
Mailing Address: | 275 Collier Road, Nw, Suite 500 ATLANTA |
State: | GA |
Postal Code: | 303091711 |
Phone Number: | 4046052800 |
Fax Number: | 4043515983 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 14897 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |