Cannon Martin, Samantha

Cannon Martin, Samantha is an sole proprietor health care provider with primary practice located at 145 Victor Dr , Buford GA 30518-2563. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is her primary health care specialty. Cannon Martin, Samantha can be contacted via phone (770) 310-8100.

Contact Information

Primary practice address
145 Victor Dr Buford GA 30518-2563
Phone: (770) 310-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT004468 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X OT004468 Georgia

Profile Details

NPI number 1700297256
LBN Legal business name Cannon Martin, Samantha
Credentials MSOT/L, CLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2014
Last updated May 4th, 2022 - 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.

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