Cannon Plastic & Reconstructive Surgery PC

NPI #1639447642 in Savannah, Georgia

Provider Information

NPI Number: 1639447642
Entity Type: Organization
Organization Name: Cannon Plastic & Reconstructive Surgery PC
Primary Specialty: Plastic Surgery
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 4750 WATERS AVE
Address 2: SUITE 512
City: Savannah
State: Georgia
ZIP Code: 31404-6200
Phone: (912) 547-1091

Authorized Official

Name: DR. CLIFTON LAMAR CANNON III, MD
Title: OWNER
Phone: (912) 547-1091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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