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NPI Code Detail

MEDICARE: DR. WILLIAM EUGENE CANNADY M.D.

MEDICARE: DR. WILLIAM EUGENE CANNADY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician060354GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770763021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EUGENE CANNADY M.D.
Provider Business Mailing Address
First Line : P.O BOX 1758
Second Line :
City : EVANS
State : GA
Zip : 30809-3089
Country : US
Telephone Number : 706-854-2500
Fax Number : 706-854-2559
Provider Business Practice Location Address
First Line : 411 TOWN PARK BLVD
Second Line :
City : EVANS
State : GA
Zip : 30809-3089
Country : US
Telephone Number : 706-854-2500
Fax Number : 706-854-2559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2007
Last Update Date : 01/26/2024

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