Individual provider · Type 1 NPI

Timothy Hugh Gannon, MD

Specialist · Dothan, AL

NPI number 1083676852 Active

Practice location

4300 W Main St, Suite 403
Dothan, AL 36305-1054

Call (334) 793-4788 Map

Fax (334) 793-1561

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1083676852

Timothy Hugh Gannon, MD's National Provider Identifier is 1083676852, issued on Apr 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dothan, AL. The record was last updated on Apr 19, 2017.