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Individual

MRS. MONICA MCKEON HANNAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9404
(404) 785-9025
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 414-0442

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172832
TN
163W00000X
Registered Nurse
217488
GA
363LP0200X
Pediatric Nurse Practitioner
15269
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
217488
GA

Other

Enumeration date
10/20/2010
Last updated
03/02/2015
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