Individual
JOHN WALTON HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4610 KANAWHA AVE SW STE 401, SOUTH CHARLESTON, WV 25309-1367
(304) 768-7368
(304) 768-1829
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17872
WV
Other
Enumeration date
08/18/2006
Last updated
12/23/2021
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