Organization
ENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GANNON (VICE PRESIDENT)
(334) 790-9620
Entity
Organization
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
Enumeration date
04/03/2006
Last updated
04/22/2025
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