Individual
DR. ROBERT MARTYN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
34078
AL
204F00000X
Transplant Surgery Physician
34078
TN
204F00000X
Transplant Surgery Physician
49884
KY
Other
Enumeration date
03/31/2008
Last updated
06/28/2023
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