Individual provider · Type 1 NPI
Z'thomas Kirk Cannon, PHYSICIAN ASSISTANT
Surgical Physician Assistant · Mount Home, TN
NPI number
1487684874
Active
Practice location
Sydney & Lamont St, James H Quillen Va Mediacl Center
Mount Home, TN 37684
Mailing address
119 Meadowstone Dr
Unicoi, TN 37692-6623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA0000000734 (TN) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1487684874
Z'thomas Kirk Cannon, PHYSICIAN ASSISTANT's National Provider Identifier is 1487684874, issued on Jul 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mount Home, TN. The record was last updated on Jul 8, 2007.