Dr BRETT H CANNON MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1997 from University Of North Carolina At Chapel Hill School Of Medicine.
THE BORTOLAZZO GROUP, LLC
3950 AUSTELL RD
AUSTELL
GA
301061121
Tel: 7707324000
| Npi | 1124132386 |
| Pac Id | 3870497993 |
| Professional Enrollment Id | I20050208000651 |
| Last Name | CANNON |
| First Name | BRETT |
| Middle Name | H |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | THE BORTOLAZZO GROUP, LLC |
| Group Practice Pac Id | 3476554320 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 3950 AUSTELL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AUSTELL |
| State | GA |
| Zip Code | 301061121 |
| Phone Number | 7707324000 |
| Hospital Affiliation Ccn 1 | 110184 |
| Hospital Affiliation Lbn 1 | WELLSTAR DOUGLAS HOSPITAL |
| Hospital Affiliation Ccn 2 | 110143 |
| Hospital Affiliation Lbn 2 | WELLSTAR COBB HOSPITAL |
| Hospital Affiliation Ccn 3 | 110042 |
| Hospital Affiliation Lbn 3 | WELLSTAR PAULDING HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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