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1891519294
MICHAEL CANNON
CHARLESTON, SC
NPI
1891519294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12631)
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
MICHAEL CANNON DPT
915 FOLLY RD STE J
CHARLESTON, SC 29412-3907
Phone number: 843-203-6955
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Mailing Address
MICHAEL CANNON DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-269-2213
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