Gannon, James Michael

Gannon, James Michael is an individual health care provider with primary practice located at 7300 S Raeford Rd , Fayetteville NC 28304-6162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gannon, James Michael can be contacted via phone (910) 488-2120.

Contact Information

Primary practice address
7300 S Raeford Rd Fayetteville NC 28304-6162
Phone: (910) 488-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 253692 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018-00911 North Carolina

Profile Details

NPI number 1851506604
LBN Legal business name Gannon, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Sep 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851506604 NPPES
New York MEDICAID 03033185

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