Individual
DR. ROBERT MINNICK CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SUNSET DR, SUITE 503, ATHENS, GA 30606-2288
(706) 613-1040
(706) 613-9120
Mailing address
700 SUNSET DR, SUITE 503, ATHENS, GA 30606-2288
(706) 613-1040
(706) 613-9120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426544A
—
GA
Enumeration date
07/10/2006
Last updated
11/01/2011
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