Individual
SARAH CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2012 S TOLLGATE RD STE 206, BEL AIR, MD 21015
(410) 216-0202
Mailing address
2012 S TOLLGATE RD STE 206, BEL AIR, MD 21015-5902
(410) 216-0202
(408) 915-6337
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0085864
MD
Other
Enumeration date
06/20/2010
Last updated
04/03/2019
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