Gannon James Ray
Internal Medicine, Hematology & Oncology in Mobile, AL. Individual provider (NPI-1).
NPI number1659959633
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1659959633
- Entity type
- Individual (NPI-1)
- Name
- Gannon James Ray
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2021
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 45363 | AL | Yes |
| 207R00000X | Internal Medicine | 45363 | AL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | AL |
Practice location
2451 University Hospital Dr Rm 714Mobile, AL 36617-2300
Phone 251-434-3915 · Fax 251-415-1387
Mailing address
2451 University Hospital Dr Rm 714Mobile, AL 36617-2300
Phone 251-434-3915 · Fax 251-415-1387
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