Individual
BARBARA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 GAIL AVENUE, ALBANY, GA 31707
(229) 886-9322
Mailing address
2025 GAIL AVENUE, ALBANY, GA 31707
(229) 886-9322
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
GA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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