Cecilia S. Cannon in Spartanburg - Physician Assistant
Cecilia S. Cannon - NPI 1275688772
Cecilia S. Cannon is a Physician Assistant in Spartanburg, South Carolina. Cecilia S. Cannon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cecilia S. Cannon is 1275688772. The last update date is 2014-06-16.
Cecilia S. Cannon's current location address is 1762 E Main St, Spartanburg, South Carolina. You can contact this provider via phone number 8645912261 and fax number 8645912271. The mailing address for Cecilia S. Cannon is 1762 E Main St, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cecilia S. Cannon |
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Address | 1762 E Main St, Spartanburg, South Carolina |
Phone Number | 8645912261 |
Fax Number | 8645912271 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1275688772 |
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Provider Enumeration Date | 2007-01-24 |
Last Updated Date | 2014-06-16 |
Provider Mailing Address Detail
Address | 1762 E Main St |
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City | Spartanburg |
State | South Carolina (SC) |
Post Code | 293072231 |
Phone Number | 8645912261 |
Fax Number | 8645912271 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 289 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Cecilia S. Cannon by the Centers for Medicare & Medicaid Services?
The Cecilia S. Cannon has been issued the NPI (National Provider Identifier) 1275688772. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Cecilia S. Cannon's physical address?
The Cecilia S. Cannon is physically located at 1762 E Main St, in the city of Spartanburg, SC, with the postal code 293072231.
What is Cecilia S. Cannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cecilia S. Cannon is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275688772 to Cecilia S. Cannon?
The Cecilia S. Cannon received its 1275688772 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date was the information regarding Cecilia S. Cannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cecilia S. Cannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-16.