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Individual

TAMMAM HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-1041
(601) 984-5151
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-1041
(601) 984-5151

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T-4505
MS
207XS0106X
Orthopaedic Hand Surgery Physician
T-4505
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
T-4505
MS
390200000X
Student in an Organized Health Care Education/Training Program
MT220162
PA

Other

Enumeration date
07/08/2020
Last updated
09/10/2021
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