Cannon, Ashlea L
Cannon, Ashlea L is an individual health care provider with primary practice located at 1755 Hwy 34 E Ste 2200, Newnan GA 30265-3190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cannon, Ashlea L can be contacted via phone (770) 502-2175.Contact Information
Primary practice address
1755 Hwy 34 E Ste 2200
Newnan GA 30265-3190
Phone: (770) 502-2175
Fax: (770) 254-7843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005659 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5569 | Georgia |
Profile Details
| NPI number | 1316263494 |
|---|---|
| LBN Legal business name | Cannon, Ashlea L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2010 |
| Last updated | Jun 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316263494 | NPPES |
| Georgia | MEDICAID | 146816327C |
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