Individual provider · Type 1 NPI

Benjamin Chad Cannon, CPRS

Addiction Medicine (Internal Medicine) Physician · Johnson City, TN

NPI number 1275205437 Active

Practice location

2408 Susannah St
Johnson City, TN 37601-1732

Call (423) 434-6677 Map

Mailing address

2424 E Lakeview Dr
Johnson City, TN 37601-1866

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XL000000027637 (TN)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1275205437

Benjamin Chad Cannon, CPRS's National Provider Identifier is 1275205437, issued on Oct 5, 2021. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Johnson City, TN. The record was last updated on Oct 5, 2021.