Individual
LINDA JEAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 756-6880
(404) 756-6870
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 756-6880
(404) 756-6870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000372006A
—
GA
Enumeration date
06/27/2005
Last updated
01/24/2013
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