Robert A. Gannaway, M.D., Pllc

LBN: Robert A. Gannaway, M.D., Pllc
Robert A. Gannaway, M.D., Pllc is an health care organization with primary practice located at 408 E Railroad Ave Suite B, Crystal Springs MS 39059-2520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert A. Gannaway, M.D., Pllc can be contacted via phone (601) 892-7860, or through Gannaway, Robert A. via phone (601) 892-7860.

Contact Information

Primary practice address
408 E Railroad Ave Suite B Crystal Springs MS 39059-2520
Phone: (601) 892-7860
Fax: (601) 892-7861
Website:
Map and Directions
Authorized official contact:
Name: Gannaway, Robert A. Doctor of Medicine (MD)
Phone: (601) 892-7860

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12331 Mississippi

Profile Details

NPI number 1942234117
LBN Legal business name Robert A. Gannaway, M.D., Pllc
DBA Doing business as
Authorized official Gannaway, Robert A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942234117 NPPES
Mississippi MEDICAID 01529794

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