Cannon, Rubaba
Cannon, Rubaba is an individual health care provider with primary practice located at 3621 Vinings Slope Se Unit 1332 , Atlanta GA 30339-4168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cannon, Rubaba can be contacted via phone (404) 307-9691.Contact Information
Primary practice address
3621 Vinings Slope Se Unit 1332
Atlanta GA 30339-4168
Phone: (404) 307-9691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN242262 | Georgia |
Profile Details
| NPI number | 1073964458 |
|---|---|
| LBN Legal business name | Cannon, Rubaba |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2016 |
| Last updated | Jan 29th, 2025 - about last year |
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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