Individual
EMMA LEIGH HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
795 ROSS CLARK CIR, DOTHAN, AL 36303-5304
(334) 678-5041
Mailing address
3000 LASALLE DR, DOTHAN, AL 36303-1543
(334) 714-3347
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2671
AL
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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