Cannon, Michael L

Cannon, Michael L is an sole proprietor health care provider with primary practice located at 5206 Walnut Ct , Lithonia GA 30038-4873. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cannon, Michael L can be contacted via phone (678) 481-7808.

Contact Information

Primary practice address
5206 Walnut Ct Lithonia GA 30038-4873
Phone: (678) 481-7808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0578 Georgia

Profile Details

NPI number 1861952251
LBN Legal business name Cannon, Michael L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2019
Last updated Mar 21st, 2019 - about 5 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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