Individual
EMILY ELIZABETH CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD29882
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I024801
MEDICARE
AL
05
—
150133
—
AL
01
—
51136878
BCBS
AL
Enumeration date
06/19/2008
Last updated
12/23/2014
Update your record
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