Individual
DR. CHARLES WAYNE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 WENTWORTH DR, DOTHAN, AL 36305-6906
(334) 794-2093
(334) 793-8009
Mailing address
122 WENTWORTH DR, DOTHAN, AL 36305-6906
(334) 794-2093
(334) 793-8009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00003521
AL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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