Dr Charles Ron Cannon, MD | |
1038 River Oaks Dr, Flowood, MS 39232 | |
(601) 932-5244 | |
(601) 939-0545 |
Full Name | Dr Charles Ron Cannon |
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Gender | Male |
Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
Location | 1038 River Oaks Dr, Flowood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437269479 | NPI | - | NPPES |
08553384 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 07635 (Mississippi) | Primary |
Entity Name | Independent Healthcare Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
Entity Name | River Oaks Management Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
Mailing Address | Practice Location Address |
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Dr Charles Ron Cannon, MD Po Box 5345, Jackson, MS 39296 Ph: (601) 932-5244 | Dr Charles Ron Cannon, MD 1038 River Oaks Dr, Flowood, MS 39232 Ph: (601) 932-5244 |
Dr. John P Hines, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 303, Flowood, MS 39232 Phone: 601-709-7700 Fax: 601-709-7701 | |
Mr. Peter J Casano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1038 River Oaks Dr, Flowood, MS 39232 Phone: 601-932-5244 Fax: 601-939-0545 | |
Beverly Claire Fulcher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 303, Flowood, MS 39232 Phone: 601-709-7700 Fax: 601-944-5551 | |
Stephen Frederick Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Drive, Suite 303, Flowood, MS 39232 Phone: 601-709-7700 Fax: 601-709-7701 | |
Laura House Christopher, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 290 E Layfair Dr, Flowood, MS 39232 Phone: 601-981-2825 | |
Clarence Michael Osborne, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Drive, Suite 303, Flowood, MS 39232 Phone: 601-709-7700 Fax: 601-709-7701 |