Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cannon Plastic & Reconstructive Surgery PC

Organization Plastic Surgery Physician · NPI 1093079402

Cannon Plastic & Reconstructive Surgery PC is a Plastic Surgery Physician in Savannah, Georgia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5205 Frederick St
Savannah, GA 31405-4501
Phone: (912) 354-7044
Fax: (912) 355-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1093079402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifton Cannon — President · (912) 354-7044
NPI enumeratedJune 29, 2012
Last updated in NPPESNovember 19, 2012
Mailing addressPo Box 15878, Savannah, GA 31416-2578

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