Most Relevant Information
Provider Data
| NPI Number: | 1003831900 |
| Provider Name: | G DWAYNE GANN R,MR |
| Entity Type: | Individual |
| Taxonomy Code: | 247100000X |
| Specialty: | Radiologic Technologist |
| License Number: | 259436 |
Most Important Dates
| Enumeration Date: | 07/12/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1201 13TH AVE SE
DECATUR
AL
356014300
Practice Location Phone/Fax
| Phone: | 2563507779 |
| Fax: | 2563502272 |
Provider Mailing Location
1804 WOODALL RD SW
DECATUR
AL
356034314
Provider Mailing Phone/Fax
| Phone: | 2563060554 |
| Fax: |