Timothy Hugh Gannon, MD Valid NPI
Individual provider · Specialist · Dothan, AL
- NPI
- 1083676852
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-04-05
- Last updated
- 2017-04-19
Practice location
4300 W Main St, Suite 403
Dothan, AL 36305-1054
(334) 793-4788