Organization
JOSEPH HANNAN M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T HANNAN M.D. (PHYSICIAN)
(770) 526-4999
Entity
Organization
Contact information
Practice address
200 CRUISE CT, ROSWELL, GA 30076-4006
(770) 526-4999
(770) 552-2538
Mailing address
200 CRUISE CT, ROSWELL, GA 30076-4006
(770) 526-4999
(770) 552-2538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
025759
DC
305S00000X
Point of Service
025759
DC
314000000X
Skilled Nursing Facility
Primary
025759
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509396C
—
GA
Enumeration date
12/16/2006
Last updated
06/21/2018
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