Cannon, Donae

Cannon, Donae is an individual health care provider with primary practice located at 311 Cooper Rd , Loganville GA 30052-4976. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Cannon, Donae can be contacted via phone (678) 205-5437.

Contact Information

Primary practice address
311 Cooper Rd Loganville GA 30052-4976
Phone: (678) 205-5437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT003337 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT003337 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003337 Georgia

Profile Details

NPI number 1588725451
LBN Legal business name Cannon, Donae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 30th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588725451 NPPES
Georgia MEDICAID 306067
Georgia MEDICAID 863729177A
Georgia MEDICAID 10037742

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