Individual
JOHN W GNANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
08890
AL
207RI0200X
Infectious Disease Physician
Primary
AL35447
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080315
BLUE CROSS
AL
05
—
000080315
—
AL
01
—
051510652
BLUE CROSS
AL
01
—
110028646
RAILROAD MEDICARE
AL
01
—
9928
HEALTHSPRING OF ALABAMA
AL
01
—
C73388
VIVA
AL
Enumeration date
06/22/2006
Last updated
10/22/2020
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