Individual
MR. SAMUEL G HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
11022 VALLEY FORGE RD, MOSS POINT, MS 39562-9516
(228) 254-0155
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LRT000083
LA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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