Individual
JOANN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7537
(843) 716-7460
Mailing address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7537
(843) 716-7460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108954
NC
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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