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Individual

MR. G DWAYNE GANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R,MR

Contact information

Practice address
1201 13TH AVE SE, DECATUR, AL 35601-4300
(256) 350-7779
(256) 350-2272
Mailing address
1804 WOODALL RD SW, DECATUR, AL 35603-4314
(256) 306-0554

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
259436
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
259436

Other

Enumeration date
07/12/2006
Last updated
09/11/2025
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