Cannon Plastic & Reconstructive Surgery PC

Plastic Surgery Physician · Savannah, GA

Organization Active NPI

NPI number 1093079402

Practice location

5205 Frederick St
Savannah, GA 31405-4501
Phone
(912) 354-7044
Fax
(912) 355-3066

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NPI record

NPI
1093079402
Entity type
Organization (Type 2)
Enumeration date
June 29, 2012
Last updated
November 19, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Mailing address

PO Box 15878
Savannah, GA 31416-2578
Phone
(912) 354-7044
Fax
(912) 355-3066

Authorized official

Name
Clifton L Cannon III, MD
Title
President
Phone
(912) 354-7044

About Cannon Plastic & Reconstructive Surgery PC

Cannon Plastic & Reconstructive Surgery PC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 5205 Frederick St, Savannah, GA 31405-4501. The NPI number 1093079402 was assigned on June 29, 2012 and the record was last updated on November 19, 2012.

The authorized official for this organization is Clifton L Cannon III, MD, President.

Frequently asked questions

What is the NPI number of Cannon Plastic & Reconstructive Surgery PC?

The NPI number is 1093079402.

What is the phone number of Cannon Plastic & Reconstructive Surgery PC?

The phone number listed for the practice location is (912) 354-7044.

Where is Cannon Plastic & Reconstructive Surgery PC located?

5205 Frederick St, Savannah, GA 31405-4501.

What is the taxonomy code for Cannon Plastic & Reconstructive Surgery PC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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