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Alan Cannon

NPI 1528631751 · on the registry since 2021 · sole proprietor

Practice

Address
115 Kings Rd
Athens, GA 30606
Phone
(706) 202-3187

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia