Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADDY ANTLEY CANNON, PA-C
ActiveADDY ANTLEY CANNON, PA-C is a Medical Physician Assistant healthcare provider located in SPARTANBURG, South Carolina. NPI 1386954097 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SPARTANBURG, SC
Registration Details
- NPI Number
- 1386954097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2010 (15.811274395155 yrs)
- Last Updated
- Feb 19, 2014
- License
-
TL1562 (SC)
Practice Information
- Address
-
126 DILLON DRIVESPARTANBURG, SC, 293071018Browse SC providers · Browse ZIP 29307
- Phone
- 8643271212
- Fax
- 8643271211
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SPARTANBURG, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. BONNIE BROWN WEST | PA-C | 1780646000 |
| CHARLES MASON | PA | 1255396321 |
| MRS. KELLY MARTIN WILSON | PA-C | 1396933461 |
| MRS. AMANDA FALLS BROOME | PA-C | 1902088867 |
| MRS. ELIZABETH LEANNE WELLING | PA-C | 1205019957 |
| KRISTEN BIERI KOCH | PA-C | 1356653968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.