Individual
CHARLOTTE H. HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E CHEVES ST STE 380, FLORENCE, SC 29506-2649
(843) 665-4104
(843) 777-7565
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 665-4104
(843) 777-7565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3195
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208PA
—
SC
Enumeration date
04/17/2019
Last updated
02/22/2021
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