Individual
GEORGE M HANNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 MARY ST, BOONE, NC 28607-5025
(828) 262-9168
(828) 262-9168
Mailing address
PO BOX 930, BLOWING ROCK, NC 28605-0930
(336) 262-9168
(336) 262-9168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
06573
RI
207RC0000X
Cardiovascular Disease Physician
Primary
32113
NC
207RC0000X
Cardiovascular Disease Physician
ME111176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006573
TUFTS
RI
01
—
14NJ0
BLUE CROSS BLUE SHIELD
FL
01
—
2500480
UNITED HEALTH
RI
05
—
7004900
—
RI
01
—
754856
UNITED HEALTHCARE
FL
Enumeration date
11/08/2006
Last updated
03/08/2017
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