Individual
DR. ROAN SUMNER GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5104 US HIGHWAY 431, ALBERTVILLE, AL 35950-0237
(256) 878-8180
(256) 891-3693
Mailing address
5104 US HIGHWAY 431, ALBERTVILLE, AL 35950-0237
(256) 878-8180
(256) 891-3693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33074
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2012
Last updated
04/23/2015
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