Whalio Doctors

NPI 1033103122

D Timothy Cannon, MD

Practitioner Specialist Jackson, MS

Practice location

Address
971 Lakeland Dr Suite 1052, Jackson, MS 39216-4643
Phone
(601) 981-9503
Fax
(601) 981-7895

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 11015 (MS)

Registry record

NPI
1033103122
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Sep 2005
Record last updated
31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.