ADDY ANTLEY CANNON

SPARTANBURG, SC
NPI1386954097
Former NameADDY ANTLEY SMOKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SC  TL1562)
Enumeration Date2010-10-15
Last Update Date2014-02-19
Business Address
-- ADDY ANTLEY CANNON PA-C
126 DILLON DRIVE
SPARTANBURG, SC 29307-1018
Phone number: 864-327-1212
Mailing Address
-- ADDY ANTLEY CANNON PA-C
126 DILLON DRIVE
SPARTANBURG, SC 29307-1018
Phone number: 864-327-1212
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