Lauren Cannon
Physician Assistant in Austell, GA. Individual provider (NPI-1).
NPI number1104487818
StatusActive
Last updated in NPPESOct 16, 2026
Details
- NPI
- 1104487818
- Entity type
- Individual (NPI-1)
- Name
- Lauren Cannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2019
- Certification date
- Oct 16, 2026
- Last updated
- Oct 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9403 | GA | Yes |
Practice location
3950 Austell RdAustell, GA 30106-1121
Phone 706-863-9595 · Fax 706-868-8375
Mailing address
Po Box 3726Augusta, GA 30914-3726
Phone 706-863-9595 · Fax 706-868-8375
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