Individual
JODY LEIGH HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 WATERS AVE FL 1, SAVANNAH, GA 31404-6220
(912) 350-3438
(912) 350-9037
Mailing address
4700 WATERS AVE FL 1, SAVANNAH, GA 31404-6220
(912) 350-3438
(912) 350-9037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713PA
—
SC
05
—
127369667A
—
GA
05
—
127369667B
—
GA
05
—
127369667C
—
GA
05
—
127369667D
—
GA
05
—
127369667E
—
GA
05
—
127369667F
—
GA
05
—
127369667G
—
GA
05
—
127369667H
—
GA
01
—
P00456206
RAILROAD MEDICARE
GA
Enumeration date
06/03/2006
Last updated
02/09/2022
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