Daniel Todd Cannon, | |
175 Samaritan Dr, Jasper, GA 30143-1964 | |
(706) 253-4633 | |
Not Available |
Full Name | Daniel Todd Cannon |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 175 Samaritan Dr, Jasper, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053194225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 11970 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Daniel Todd Cannon, 260 Rockhound Dr, Dahlonega, GA 30533-7185 Ph: (770) 820-3815 | Daniel Todd Cannon, 175 Samaritan Dr, Jasper, GA 30143-1964 Ph: (706) 253-4633 |
Mrs. Brooke B. Teal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr Ste 160, Jasper, GA 30143 Phone: 706-692-0603 Fax: 678-581-7109 | |
Erin Egnoski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1266 Highway 515 S, Jasper, GA 30143 Phone: 706-692-2441 | |
Marvin Langford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Samaritan Dr, Jasper, GA 30143 Phone: 706-253-4673 | |
Mrs. Tansy Ridings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr, Suite 160, Jasper, GA 30143 Phone: 706-692-4384 Fax: 706-692-2504 | |
Charlotte Wood, Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 J L White Dr Ste 160, Jasper, GA 30143 Phone: 706-692-4384 | |
Mrs. Rachel Paige Stephens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Interstate South Dr Ste 100, Jasper, GA 30143 Phone: 706-253-3376 Fax: 706-253-3223 |