Cannon Plastic & Reconstructive Surgery PC

NPI #1093079402 in Savannah, Georgia

Provider Information

NPI Number: 1093079402
Entity Type: Organization
Organization Name: Cannon Plastic & Reconstructive Surgery PC
Primary Specialty: Plastic Surgery
Enumeration Date: Jun 29, 2012
Last Updated: Nov 19, 2012

Practice Location

Address: 5205 FREDERICK ST
City: Savannah
State: Georgia
ZIP Code: 31405-4501
Phone: (912) 354-7044

Authorized Official

Name: CLIFTON L CANNON III, MD
Title: PRESIDENT
Phone: (912) 354-7044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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