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Contact Information

JOE M GANNON, MD
607 RUE DE BRILLE
NEW IBERIA, LA70563-2169
 Phone: 337-367-1247
 Fax: 337-365-7496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JOE M GANNON · (Male)

NPI Number 1992700256
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2005
Last updated 05/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 10553R
  • LA Medicaid 1655091
Hospital affiliation(s)
  • IBERIA GENERAL HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2315 E MAIN STREET
    NEW IBERIA, LA 70562
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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