Cannon, Linda Jean
Cannon, Linda Jean is an individual health care provider with primary practice located at 868 York Ave Sw , Atlanta GA 30310-2750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cannon, Linda Jean can be contacted via phone (404) 756-6880.Contact Information
Primary practice address
868 York Ave Sw
Atlanta GA 30310-2750
Phone: (404) 756-6880
Fax: (404) 756-6870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 030972 | Georgia |
Profile Details
| NPI number | 1952307787 |
|---|---|
| LBN Legal business name | Cannon, Linda Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 24th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952307787 | NPPES |
| Georgia | MEDICAID | 000372006A |
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