Cannon, Mark Andrew

Cannon, Mark Andrew is an individual health care provider with primary practice located at 100 Emancipation Dr Department Of Surgery, Hampton VA 23667-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cannon, Mark Andrew can be contacted via phone (757) 722-9961.

Contact Information

Primary practice address
100 Emancipation Dr Department Of Surgery Hampton VA 23667-0001
Phone: (757) 722-9961
Fax: (757) 728-7052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101892 Florida

Profile Details

NPI number 1215991484
LBN Legal business name Cannon, Mark Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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