Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIMMIE DALE CANNON JR., MD
ActiveDR. JIMMIE DALE CANNON JR., MD is a Cardiovascular Disease healthcare provider located in JASPER, Georgia. NPI 1033182043 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · JASPER, GA
Registration Details
- NPI Number
- 1033182043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2006 (20.54040959388 yrs)
- Last Updated
- Oct 1, 2014
- Licenses
-
14897 (SC)072875 (GA)
Practice Information
- Address
-
220 J.L. WHITE DRIVESUITE 100JASPER, GA, 301434894Browse GA providers · Browse ZIP 30143
- Phone
- 7062538001
- Fax
- 7062538002
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in JASPER, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERTO F PEREIRA | M.D. | 1518963388 |
| RICHARD A RYDER | MD | 1588616510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.