Individual
MARK HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
3228 SYDENHAM ST, FAIRFAX, VA 22031-4844
(571) 357-0479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
HANL-PYH3G0
NC
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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