Individual
LAURA EMILY GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
871 RIDGEWAY LOOP RD STE 200, MEMPHIS, TN 38120-4007
(901) 821-9990
(901) 821-9991
Mailing address
PO BOX 1000, DEPT 978, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65727
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
09/11/2023
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