Individual
GANNON JAMES RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR RM 714, MOBILE, AL 36617-2300
(251) 434-3915
(251) 415-1387
Mailing address
2451 UNIVERSITY HOSPITAL DR RM 714, MOBILE, AL 36617-2300
(251) 434-3915
(251) 415-1387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45363
AL
207RH0003X
Hematology & Oncology Physician
Primary
45363
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
03/31/2021
Last updated
06/20/2025
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