Organization
PATRICIA M. HANNAN, CRNA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MACK HANNAN CRNA (SELF/OWNER)
(803) 293-8080
Entity
Organization
Contact information
Practice address
110 PEPPER HILL WAY, AIKEN, SC 29801-2818
(703) 642-6060
(803) 642-0754
Mailing address
ONE TENTH STREET, SUITE 400, AUGUSTA, GA 30901-0126
(706) 722-9090
(706) 722-9092
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
571116450
GA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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