Individual
PARK CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(347) 200-9292
Mailing address
931 MONROE DR. NE, SUITE A102 #449, ATLANTA, GA 30308
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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