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Contact Information

JOE M. GANNON, M.D. A PROFESSIONAL MEDICAL CORP
230 ROBERTS DR
SUITE J
NEW ROADS, LA70760-2661
 Phone: 225-718-3764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOE M GANNON MD A PROFESSIONAL MEDICAL CORP · (Female)

NPI # 1124001755
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2005
Last updated 05/12/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 10553R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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