Individual
DR. HANNA MICHAEL MITIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
(662) 534-5542
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
(662) 534-5542
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13955
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119607
—
MS
Enumeration date
07/22/2006
Last updated
01/25/2023
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