Cannon, Robert Minnick

Cannon, Robert Minnick is an individual health care provider with primary practice located at 700 Sunset Dr Suite 503, Athens GA 30606-2288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cannon, Robert Minnick can be contacted via phone (706) 613-1040.

Contact Information

Primary practice address
700 Sunset Dr Suite 503 Athens GA 30606-2288
Phone: (706) 613-1040
Fax: (706) 613-9120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33046 Georgia

Profile Details

NPI number 1841224334
LBN Legal business name Cannon, Robert Minnick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 1st, 2011 - 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 1841224334 NPPES
Georgia MEDICAID 00426544A

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