person
Michelle R. Cannon, PA-C
Medical Physician Assistant in Statesville, North Carolina
NPI 1609839125

Michelle R. Cannon is a Medical Physician Assistant based in Statesville, NC and is specialized in Medical. Michelle R. Cannon practices in Statesville, NC and has the professional credentials of PA-C. The NPI Number for Michelle R. Cannon is 1609839125 and holds a License No. 102143 (North Carolina).

The current practice location address for Michelle R. Cannon is 619 Sullivan Rd, Statesville, NC and can be reached out via phone at 704-878-9309. You can also correspond with Michelle R. Cannon through the mailing address at 650 SIGNAL HILL DRIVE EXT, STATESVILLE, NC - 28625-4353 (mailing address contact number: 704-873-4277).

Location: 619 Sullivan Rd, Statesville, NC, 28625-4353
person
Provider Profile Details
NPI Number
1609839125
Provider Name
Michelle R. Cannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
619 Sullivan Rd, Statesville, NC, 28625-4353
Phone Number
704-878-9309
Fax Number
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
619 Sullivan Rd
City
State
Zip
28677-3437
Phone Number
704-878-9309
Fax Number
person
Provider Business Mailing Address Details
Address
619 Sullivan Rd
City
State
Zip
28677-3437
Phone Number
704-878-9309
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
102143 (North Carolina)
Definition
Definition to come...
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