Individual
DR. L ROBERT HANRAHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, BRODY OUTPATIENT CENTER, GREENVILLE, NC 27834-4300
(252) 744-2207
(252) 744-3616
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
22121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39080
BCBS NC
NC
05
—
8939080
—
NC
Enumeration date
08/19/2005
Last updated
08/23/2007
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