Most Relevant Information
Provider Data
| NPI Number: | 1003200312 |
| Provider Name: | BRITTANY CANNON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2728 |
Most Important Dates
| Enumeration Date: | 03/25/2015 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
979 E 3RD ST STE G
CHATTANOOGA
TN
374032136
Practice Location Phone/Fax
| Phone: | 4234909080 |
| Fax: | 4234909076 |
Provider Mailing Location
975 E. THIRD STREET
ATTN: PROVIDER ENROLLMENT
CHATTANOOGA
TN
37403
Provider Mailing Phone/Fax
| Phone: | 4234909080 |
| Fax: | 4234909076 |