Individual
ROBERT SAMUEL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL RD, CALLER BOX C-268, CHEROKEE, NC 28719-5392
(828) 497-9163
(828) 497-1723
Mailing address
5165 GRAND CYPRESS CT, FORT COLLINS, CO 80528-9102
(307) 751-8311
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7567A
WY
207W00000X
Ophthalmology Physician
Primary
DR.0023020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156996001
—
AR
01
—
207558107
MISSOURI MEDICAID
MO
01
—
P00196059
RAILROAD MEDICARE
AR
Enumeration date
07/28/2006
Last updated
07/21/2022
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