Individual
MARY ETHELDREDA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 DUKE OF GLOUCESTER ST SW, ROANOKE, VA 24014-1372
(540) 345-4900
Mailing address
8563 HARVEST VIEW CT, ELLICOTT CITY, MD 21043-6560
(410) 750-0311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101036083
VA
207L00000X
Anesthesiology Physician
D44071
MD
Other
Enumeration date
06/08/2006
Last updated
01/22/2014
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