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Contact Information

ANDREW L CANNON
2704 W DOUGLEGATE DRIVE
ALBANY, GA31721
 Phone: 904-719-4794
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANDREW L CANNON · (Male)

NPI Number 1215795182
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2024
Last updated 03/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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