Individual
DA MONICA ALETHEA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2737 WARM SPRINGS RD STE C, COLUMBUS, GA 31904-5328
(706) 571-1136
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
(706) 507-5441
(706) 507-5460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN158350
GA
363LF0000X
Family Nurse Practitioner
Primary
RN158350
GA
Other
Enumeration date
09/18/2020
Last updated
07/17/2023
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