Individual
DR. GERALD V HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 CHERRY ST, ZACHARY, LA 70791-4518
(225) 654-6589
Mailing address
3950 CHERRY ST, ZACHARY, LA 70791-4518
(225) 654-6589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD011389
LA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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