IndividualActive
Addy Cannon, PA-C
NPI 1386954097 · Medical Physician Assistant · Spartanburg, SC
Provider details
- NPI number
- 1386954097
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- TL1562 (SC)
Practice location
126 Dillon Drive
Spartanburg, SC 29307-1018
Phone: (864) 327-1212
Fax: (864) 327-1211
Mailing address
126 Dillon Drive
Spartanburg, SC 29307-1018
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2014-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.