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Individual

ROBERT JOSEPH HANLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
303 W ALEXANDER AVE, SUITE E, GREENWOOD, SC 29646-4078
(864) 725-7900
(864) 725-7910
Mailing address
303 W ALEXANDER AVE, SUITE E, GREENWOOD, SC 29646-4078
(864) 725-7900
(864) 725-7910

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1881
SC
363A00000X
Physician Assistant
310
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609PA
SC
05
42915800
WI
Enumeration date
08/29/2006
Last updated
12/02/2014
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