| Doctor Name: | DR. CAROLINE L GANNON |
| NPI Number: | 1003855537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | DPM0000000632 |
| Business Practice Address: | 100 Covey Dr Suite 309 Franklin, TN - 370675665 |
| Business Phone Number: | 6157903323 |
| Business Fax Number: | 6157906331 |
| Mailing Address: | 100 Covey Dr, Suite 309 FRANKLIN |
| State: | TN |
| Postal Code: | 370675665 |
| Phone Number: | 6157903323 |
| Fax Number: | 6157906331 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DPM0000000632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |