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Timothy Hugh Gannon, MD
Specialist in Dothan, Alabama
NPI 1083676852

Timothy Hugh Gannon is a Specialist based in Dothan, AL. Timothy Hugh Gannon practices in Dothan, AL and has the professional credentials of MD. The NPI Number for Timothy Hugh Gannon is 1083676852 and holds a License No. (Alabama).

The current practice location address for Timothy Hugh Gannon is 4300 W Main St, Dothan, AL and can be reached out via phone at 334-793-4788 and via fax at 334-793-1561.

Location: 4300 W Main St, Dothan, AL, 36305-1054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083676852
Provider Name
Timothy Hugh Gannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4300 W Main St, Dothan, AL, 36305-1054
Phone Number
334-793-4788
Fax Number
334-793-1561
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174017500 01 AL US DEPT OF LAOBR
000031973 05 AL
institution
Provider Business Practice Location Address Details
Address
4300 W Main St
City
Dothan
State
Alabama
Zip
36305-1054
Phone Number
334-793-4788
Fax Number
334-793-1561
person
Provider Business Mailing Address Details
Address
4300 W Main St
City
Dothan
State
Alabama
Zip
36305-1054
Phone Number
334-793-4788
Fax Number
334-793-1561
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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