Individual
ELIZABETH C CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 MAIN ST W, ABBEVILLE, GA 31001-4211
(229) 467-2221
(229) 467-2089
Mailing address
112 4TH ST, P.O. BOX 340, RHINE, GA 31077-4139
(229) 385-6914
(229) 467-2089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021007A
—
GA
01
—
1104126
NCPDP NUMBER
GA
Enumeration date
11/05/2006
Last updated
07/09/2007
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