Individual
THOMAS HIGGINS GANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2009-01588
NC
2084N0400X
Neurology Physician
27071
AL
2084N0400X
Neurology Physician
Primary
89487
SC
2084N0400X
Neurology Physician
MD.205797
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04328896
—
MS
05
—
2313967
—
LA
05
—
PENDING
—
SC
Enumeration date
05/18/2007
Last updated
07/07/2023
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