Individual
DR. THOMAS MILTON GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
404 N WILLOW AVE, COOKEVILLE, TN 38501
(931) 854-9393
(931) 233-2449
Mailing address
404 N WILLOW AVE, COOKEVILLE, TN 38501-2339
(931) 854-9393
(931) 233-2449
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1785
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509705
—
TN
Enumeration date
09/16/2008
Last updated
11/06/2019
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