person
Mrs. Leporsche Marquita Cannon
Prosthetic/Orthotic Supplier in Warner Robins, Georgia
NPI 1528789997

Leporsche Marquita Cannon is a Prosthetic/Orthotic Supplier based in Warner Robins, GA. Leporsche Marquita Cannon practices in Warner Robins, GA. The NPI Number for Leporsche Marquita Cannon is 1528789997 and holds a License No. (Georgia).

The current practice location address for Leporsche Marquita Cannon is 205 Dental Dr Ste 11, Warner Robins, GA and can be reached out via phone at 478-334-2091. You can also correspond with Leporsche Marquita Cannon through the mailing address at 205 DENTAL DR STE 11, WARNER ROBINS, GA - 31088-8216 (mailing address contact number: 478-334-2091).

Location: 205 Dental Dr Ste 11, Warner Robins, GA, 31088-8216
person
Provider Profile Details
NPI Number
1528789997
Provider Name
Leporsche Marquita Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 Dental Dr Ste 11, Warner Robins, GA, 31088-8216
Phone Number
478-334-2091
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 Dental Dr Ste 11
City
State
Zip
31088-8216
Phone Number
478-334-2091
Fax Number
person
Provider Business Mailing Address Details
Address
205 Dental Dr Ste 11
City
State
Zip
31088-8216
Phone Number
478-334-2091
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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