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HERBERT H GANNON MD NPI 1356309942


NPI Information

NPI: 1356309942
Provider Name: HERBERT H GANNON, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
4300 WEST MAIN STREET
SUITE 31 WOMENS HEALTHCARE OF DOTHAN PC
DOTHAN, AL
ZIP 36305
Phone: (334) 793-6511
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Herbert H Gannon, MD is a gynecology obstetrics gynecology in Dothan, AL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Herbert H Gannon, MD NPI is 1356309942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4300 WEST MAIN STREET
SUITE 31 WOMENS HEALTHCARE OF DOTHAN PC
DOTHAN, AL
ZIP 36305-300
Phone: (334) 793-6511
Fax: (334) 677-5642

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology00006291ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000004270MEDICAIDALABAMA
204270MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3C74758MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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