Dr George Hales Cannon, MD - Pathology in Salt Lake City, UT

Dr George Hales Cannon, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Salt Lake City, Utah. Dr George Hales Cannon is licensed to practice in Utah (license number 164808-1205) and his current practice location is 360 E 4500 S Ste 4, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 266-0055.

NPI number for Dr George Hales Cannon is 1770542953 and his current mailing address is Po Box 30309, Charleston, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770542953.

Contact Information

Dr George Hales Cannon, MD
360 E 4500 S Ste 4,
Salt Lake City, UT 84107-4297
(801) 266-0055
(801) 266-0056

Map and Direction




Physician's Profile

Full NameDr George Hales Cannon
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location360 E 4500 S Ste 4, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770542953
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 03/03/2008

Medical Identifiers

Medical identifiers for Dr George Hales Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770542953NPI-NPPES
87032604800106349MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 164808-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George Hales Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr George Hales Cannon, MD
Po Box 30309,
Charleston, SC 29417-0309

Ph: (843) 284-3400
Dr George Hales Cannon, MD
360 E 4500 S Ste 4,
Salt Lake City, UT 84107-4297

Ph: (801) 266-0055

Reviews and Comments


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