Individual
CLIFTON L CANNON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13055 SW 42ND ST STE 101, MIAMI, FL 33175-3409
(305) 600-1738
Mailing address
5 WAITE DR, SAVANNAH, GA 31406-5230
(912) 547-0143
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
059051
GA
208600000X
Surgery Physician
059051
GA
Other
Enumeration date
01/25/2008
Last updated
06/17/2020
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