Kincannon, Tony Ray

Kincannon, Tony Ray is an individual health care provider with primary practice located at 954 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2129. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kincannon, Tony Ray can be contacted via phone (770) 383-3055.

Contact Information

Primary practice address
954 Joe Frank Harris Pkwy Se Cartersville GA 30120-2129
Phone: (770) 383-3055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11511 Georgia

Profile Details

NPI number 1992096200
LBN Legal business name Kincannon, Tony Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Apr 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers