Individual
DR. WILLIAM R HANNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-6112
Mailing address
5885 AIRLINE RD UNIT 1011, ARLINGTON, TN 38002-5122
(901) 317-7427
(901) 317-7585
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
21003
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
21003
TN
208000000X
Pediatrics Physician
21003
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883515
—
TN
Enumeration date
07/26/2005
Last updated
08/05/2017
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