Lauren Cannon

NPI #1104487818 in Austell, Georgia

Provider Information

NPI Number: 1104487818
Entity Type: Individual
Name: Lauren Cannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 24, 2019
Last Updated: Sep 13, 2019

Practice Location

Address: 3950 AUSTELL RD
City: Austell
State: Georgia
ZIP Code: 30106-1121
Phone: (706) 863-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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