MEDICARE: MRS. CONSTANCE CANNON

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
1	343900000X	Non-emergency Medical Transport (VAN)	100783411	SC

General Provider Information

NPI Number	:	1942936844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CONSTANCE CANNON

Provider Business Mailing Address
First Line	:	1452 PINELAND DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-2127
Country	:	US
Telephone Number	:	803-760-0856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1452 PINELAND DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-2127
Country	:	US
Telephone Number	:	803-760-0856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	07/25/2022

Similar Medicare Providers

1710906771 — ADVANTAGE HEALTH SYSTEMS
Practice Location Address:

1101 ELMWOOD AVE , SUITE G
COLUMBIA, SC
29201-2127

Practice Phone: 803-758-4000
Practice Fax: 803-758-4001

1265525455 — FAMILY MEDICINE CENTERS OF SOUTH CAROLINA, P.A.
Practice Location Address:

813 LEESBURG RD
COLUMBIA, SC
29209-2127

Practice Phone: 803-779-1420
Practice Fax: 803-931-0676

1669547949 — SCHOOL DISTRICT 5 OF LEXINGTON & RICHLAND COUNTIES
Practice Location Address:

6745 SAINT ANDREWS RD
COLUMBIA, SC
29212-2127

Practice Phone: 803-476-8222
Practice Fax: 803-476-8202

1932433562 — FIRST CHOICE FAMILY LLC
Practice Location Address:

2816 KNIGHTBRIDGE RD
COLUMBIA, SC
29223-2127

Practice Phone: 803-413-9259
Practice Fax:

1811234198 — ZELDA J COUNCIL M.S. R.D. L.N.
Practice Location Address:

2127 HUFFMAN DR
COLUMBIA, SC
29209-2960

Practice Phone: 803-467-1281
Practice Fax:

1639833247 — LEIGH JAMES ROGERS APRN
Practice Location Address:

SC HOUSE CALLS INC. , 111 DOCTORS CIR.
COLUMBIA, SC
29203

Practice Phone: 800-491-0909
Practice Fax:

Directions to “ MRS. CONSTANCE CANNON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.