OrganizationActive
Cannon Plastic & Reconstructive Surgery PC
NPI 1093079402 · Plastic Surgery Physician · Savannah, GA
Provider details
- NPI number
- 1093079402
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clifton Cannon, President(912) 354-7044
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5205 Frederick St
Savannah, GA 31405-4501
Phone: (912) 354-7044
Fax: (912) 355-3066
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15878
Savannah, GA 31416-2578
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2012-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.