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Contact Information

ZTHOMAS K CANNON, PHYSICIAN ASSISTANT
SYDNEY & LAMONT ST
JAMES H QUILLEN VA MEDIACL CENTER
MOUNTAIN HOME, TN37684
 Phone: 423-926-1171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ZTHOMAS K CANNON · (Male)

NPI # 1487684874
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 07/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PA0000000734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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