Individual
IVAN D HINNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, NAVY MEDICAL CENTER, PORTSMOUTH, VA 23708-2111
(757) 953-1416
Mailing address
3716 SHORELINE DR, PORTSMOUTH, VA 23703-4036
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101057951
VA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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