Roan Sumner Gannon
Medical Specialty
Professional ID
- NPI: 1548529902
- PECOS ID: 9537472774
- Enrollment ID: I20150717000724
- Credential(MD, DO, DPM):
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 010005
- Business Name (LBN)1: Marshall Medical Center South
Medical Practices
- Organization Name: Sand Mountain Family Practice Center, P. C.
- Group Practice ID assigned by PECOS: 7517980493
- Number of Group Practice member: 5
Location
- Address1: 5104 Us Hwy 431
- Address2:
- City: Albertville
- State: Alabama
- Zip Code: 35950
- Phone Number: (256)878-8184
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes