NPI 1639447642

Cannon Plastic & Reconstructive Surgery PC

Organisation Plastic Surgery Physician Savannah, GA

Practice location

Address: 4750 Waters Ave Suite 512, Savannah, GA 31404-6200
Phone: (912) 547-1091

Authorised official

Name: Clifton Lamar Cannon
Title: Owner
Phone: (912) 547-1091

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Georgia →

Registry record

NPI: 1639447642
Entity type: Organization
NPI issued: 5 Dec 2011
Record last updated: 5 Dec 2011

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.