Individual
BRIAN HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
430 RANKIN DR, MARION, NC 28752-6568
(828) 659-5000
Mailing address
3211 SHANNON RD, SUITE 300, DURHAM, NC 27707-6322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
05/10/2007
Last updated
08/22/2007
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