Clifton L Cannon Iii (NPI# 1972780526, PAC ID# 3476679788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1972780526 |
| PAC ID by PECOS | 3476679788 |
| Professional Enrollment ID | I20100923001189 |
| Full Name | Clifton L Cannon Iii |
| Organization Legal Name | CANNON PLASTIC AND RECONSTRUCTIVE SURGERY PC |
| Address |
4750 Waters Ave Suite 512 Savannah GA 31404-6261 |
| Phone Number | 9123547044 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 1951578244 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110036 | MEMORIAL HEALTH UNIV MED CEN, INC |
| Address | Phone | Organization |
|---|---|---|
| 4750 Waters Ave, Suite 512, Savannah, GA 31404-6261 | 9123547044 | CANNON PLASTIC AND RECONSTRUCTIVE SURGERY PC |
| 4750 Waters Ave, Savannah, GA 31404-6261 | 9123547044 | CANNON PLASTIC AND RECONSTRUCTIVE SURGERY PC |
| Organization Legal Name | CANNON PLASTIC AND RECONSTRUCTIVE SURGERY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy T Mimbs | Physician Assistant | Cannon Plastic and Reconstructive Surgery PC | 4750 Waters Ave, Savannah, GA 31404-6261 |
| Street Address |
4750 WATERS AVE SUITE 512 |
| City | SAVANNAH |
| State | GA |
| Zip | 31404-6261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna Wildes | Nurse Practitioner | Savannah Vascular Institute, LLC | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6261 |
| Jackie M Kehrli | Nurse Practitioner | Savannah Multispecialty Associates LLC | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6278 |
| Davis S Moon | Vascular Surgery | Savannah Vascular Institute, LLC | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6261 |
| Patti M Macdonald | Nurse Practitioner | Savannah Pediatric Care, LLC | 4750 Waters Ave, Savannah, GA 31404-6200 |
| Paul M Balthrop | Orthopedic Surgery | Savannah Multispecialty Associates LLC | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6278 |
| Kirstin J. Nelson | Interventional Radiology | Savannah Vascular Institute, LLC | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6261 |
| Craig W Denlinger | Orthopedic Surgery | Savannah Multispecialty Associates LLC | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6278 |
| William A Darden Jr. | General Surgery | Savannah Vascular Institute, LLC | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6261 |
| Keisha L. B. Reddick | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 4750 Waters Ave, Suite 302, Savannah, GA 31404-6268 |
| William C Boswell | General Surgery | Savannah Pediatric Care, LLC | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6268 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory B Wetherington | Chiropractic | 329 Eisenhower Dr, Suite D, Savannah, GA 31404-2695 | |
| Kevin A Berkman | Chiropractic | 1101 E 51st St, Savannah, GA 31404-4031 | |
| John T Neal | Chiropractic | 1101 E 51st St, Savannah, GA 31404-4031 | |
| Maulik A Patel | Internal Medicine | Savannah Primary Care Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
| Margaret Mcclellan | Nurse Practitioner | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Lauren P Hoffman | Certified Registered Nurse Anesthetist (crna) | Coastal Ambulatory Anesthesia PC | 1139 Lexington Ave, Savannah, GA 31404-5502 |
| William Neely Hannah Jr. | Internal Medicine | Savannah Primary Care Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
| Susan Mobley Greene | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
| William G Grubb | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
| Pamela S Hoffstetter | Registered Dietitian Or Nutrition Professional | 1115 Lexington Ave, Savannah, GA 31404-5502 | |
| Find all physicians in zip 31404 | |||
| City | SAVANNAH |
| Zip Code | 31404 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SAVANNAH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Clifton L Cannon Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.