Gannon, Angela
Gannon, Angela is an individual health care provider with primary practice located at 200 Tarpon Trl , Jacksonville NC 28546-5287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gannon, Angela can be contacted via phone (910) 938-1114.Contact Information
Primary practice address
200 Tarpon Trl
Jacksonville NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 258681 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 092762 | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2018-00436 | North Carolina |
Profile Details
| NPI number | 1740481431 |
|---|---|
| LBN Legal business name | Gannon, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Oct 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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