Individual
MRS. NANCY C GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7607
(843) 805-5973
Mailing address
1288 WICKS AVE, CHARLESTON, SC 29412-5230
(843) 795-0547
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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