Cannon, Addy Antley
Cannon, Addy Antley is an individual health care provider with primary practice located at 126 Dillon Drive , Spartanburg SC 29307-1018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cannon, Addy Antley can be contacted via phone (864) 327-1212.Contact Information
Primary practice address
126 Dillon Drive
Spartanburg SC 29307-1018
Phone: (864) 327-1212
Fax: (864) 327-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TL1562 | South Carolina |
Profile Details
| NPI number | 1386954097 |
|---|---|
| LBN Legal business name | Cannon, Addy Antley |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Feb 19th, 2014 - about 12 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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