Individual
DR. CHRISTOPHER G HANLEY
Active
Individual
DR. CHRISTOPHER G HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
24007
WV
2084P0800X
Psychiatry Physician
Primary
8455
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102960
—
SD
01
—
P01092150
RR MEDICARE
SD
Enumeration date
04/11/2007
Last updated
12/05/2013
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