Individual provider · Type 1 NPI

Addy Antley Cannon, PA-C

Medical Physician Assistant · Spartanburg, SC

NPI number 1386954097 Active

Practice location

126 Dillon Drive
Spartanburg, SC 29307-1018

Call (864) 327-1212 Map

Fax (864) 327-1211

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XTL1562 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1386954097

Addy Antley Cannon, PA-C's National Provider Identifier is 1386954097, issued on Oct 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spartanburg, SC. The record was last updated on Feb 19, 2014.