Cannon, Addy Antley

Cannon, Addy Antley is an individual health care provider with primary practice located at 126 Dillon Drive , Spartanburg SC 29307-1018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cannon, Addy Antley can be contacted via phone (864) 327-1212.

Contact Information

Primary practice address
126 Dillon Drive Spartanburg SC 29307-1018
Phone: (864) 327-1212
Fax: (864) 327-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TL1562 South Carolina

Profile Details

NPI number 1386954097
LBN Legal business name Cannon, Addy Antley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Feb 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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