Individual
MICHAEL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
915 FOLLY RD STE J, CHARLESTON, SC 29412-3907
(843) 203-6955
(843) 805-4908
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 269-2213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12631
SC
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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