Individual
DR. DAVID W HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
36196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39066
BCBS NC
NC
01
—
60056285
RAILROAD MEDICARE
NC
05
—
8939066
—
NC
Enumeration date
08/18/2005
Last updated
09/03/2021
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