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1851472872
MATTHEW DAVID CANNON
SPARTANBURG, SC
NPI
1851472872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL1020)
Enumeration Date
2006-10-17
Last Update Date
2018-10-03
Business Address
MATTHEW DAVID CANNON D.O.
853 N CHURCH ST STE 510
SPARTANBURG, SC 29303-3077
Phone number: 864-560-6193
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Mailing Address
MATTHEW DAVID CANNON D.O.
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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