Individual provider · Type 1 NPI

Michael Cannon, MD

Specialist · Virginia Beach, VA

NPI number 1215925599 Active

Practice location

933 First Colonial Rd, Suite 100
Virginia Beach, VA 23454-3172

Fax (757) 491-9359

Mailing address

700 Battlefield Blvd N, Ste A
Chesapeake, VA 23320-4952

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0101229742 (VA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215925599

Michael Cannon, MD's National Provider Identifier is 1215925599, issued on Oct 11, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 10, 2017.