NPI 1083676852

Timothy Hugh Gannon, MD

Practitioner Specialist Dothan, AL

Practice location

Address: 4300 W Main St Suite 403, Dothan, AL 36305-1054
Phone: (334) 793-4788
Fax: (334) 793-1561

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Alabama →

Registry record

NPI: 1083676852
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2006
Record last updated: 19 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.