Robert A. Gannaway, M.d., Pllc
NPI #1942234117 in Crystal Springs, Mississippi
Provider Information
- NPI Number
- 1942234117
- Entity Type
- Organization
- Organization Name
- Robert A. Gannaway, M.d., Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 408 E RAILROAD AVE
- Address 2
- SUITE B
- City
- Crystal Springs
- State
- Mississippi
- ZIP Code
- 39059-2520
- Phone
- (601) 892-7860
Authorized Official
- Name
- DR. ROBERT A. GANNAWAY, M.D.
- Title
- PHYSICIAN
- Phone
- (601) 892-7860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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