Cannon Chiropractic, Pllc | |
81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 | |
(901) 840-2234 | |
(901) 840-2237 |
Full Name | Cannon Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 81 Atoka Mclaughlin, Atoka, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770755134 | NPI | - | NPPES |
1770755134 | Other | TN | FACILITY NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC0000001905 (Tennessee) | Primary |
Provider Name | Jayson Cannon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598763278 PECOS PAC ID: 2062591829 Enrollment ID: I20080505000505 |
Provider Name | Andrea M Jossell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336684083 PECOS PAC ID: 4981978871 Enrollment ID: I20170915000712 |
Provider Name | Alexander Parham |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639649411 PECOS PAC ID: 4688915218 Enrollment ID: I20190409002148 |
Provider Name | Lauren Taylor |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013668912 PECOS PAC ID: 5395139570 Enrollment ID: I20220304000207 |
Provider Name | Tyler Ridley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437730157 PECOS PAC ID: 4688061351 Enrollment ID: I20220427001726 |
Mailing Address | Practice Location Address |
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Cannon Chiropractic, Pllc 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 Ph: (901) 840-2234 | Cannon Chiropractic, Pllc 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 Ph: (901) 840-2234 |
Dana Poisal, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 Phone: 901-837-9320 Fax: 901-837-9321 | |
Samuel E Poisal Iv, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 Phone: 901-837-9320 Fax: 901-837-9321 |