Individual
JAMES FANCIS HANNIFIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHAMBLISS AVE NW, CLEVELAND ANESTHESIOLOGISTS INC, CLEVELAND, TN 37311-3894
(423) 472-6514
(423) 476-2062
Mailing address
PO BOX 3090, CLEVELAND, TN 37320-3090
(423) 472-6513
(423) 476-2062
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD11707
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178074
—
TN
Enumeration date
12/09/2005
Last updated
07/08/2007
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