Individual
DR. RICHARD P GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 CHESAPEAKE LANE # 300, CLARKSVILLE, TN 37040
(931) 552-6830
(931) 552-2847
Mailing address
141 CHESAPEAKE LANE # 300, CLARKSVILLE, TN 37040
(931) 552-6830
(931) 552-2847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000019272
TN
Other
Enumeration date
06/21/2005
Last updated
12/16/2010
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