NPI 1093079402

Cannon Plastic & Reconstructive Surgery PC

Organisation Plastic Surgery Physician Savannah, GA

Practice location

Address: 5205 Frederick St, Savannah, GA 31405-4501
Phone: (912) 354-7044
Fax: (912) 355-3066
Mailing address: PO Box 15878, Savannah, GA 31416-2578

Authorised official

Name: Clifton L Cannon
Title: President
Phone: (912) 354-7044

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Georgia →

Registry record

NPI: 1093079402
Entity type: Organization
NPI issued: 29 Jun 2012
Record last updated: 19 Nov 2012

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.