Cannon, Victoria Elizabeth

Cannon, Victoria Elizabeth is an individual health care provider with primary practice located at 250 Parkbrooke Pl Ste 300 , Woodstock GA 30189-6401. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Cannon, Victoria Elizabeth can be contacted via phone (770) 442-1911.

Contact Information

Primary practice address
250 Parkbrooke Pl Ste 300 Woodstock GA 30189-6401
Phone: (770) 442-1911
Fax: (770) 928-2601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MPA.5090PA South Carolina

Profile Details

NPI number 1952066904
LBN Legal business name Cannon, Victoria Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Oct 17th, 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.

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