Individual
JOHN J HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
541 HISTORIC HWY 441-N, DEMOREST, GA 30535-4528
(770) 219-7078
(770) 219-7365
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4704238690
MI
207R00000X
Internal Medicine Physician
064555
GA
208M00000X
Hospitalist Physician
Primary
064555
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232995
CIGNA
GA
Enumeration date
04/18/2007
Last updated
09/26/2019
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