Individual
TIMOTHY HUGH GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MAIN ST, SUITE 403, DOTHAN, AL 36305-1054
(334) 793-4788
(334) 793-1561
Mailing address
4300 W MAIN ST, SUITE 403, DOTHAN, AL 36305-1054
(334) 793-4788
(334) 793-1561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031973
—
AL
01
—
174017500
US DEPT OF LAOBR
AL
Enumeration date
04/05/2006
Last updated
04/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us