Organization
MCHANNA & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDY F HANNA (PRESIDENT)
(601) 981-4262
Entity
Organization
Contact information
Practice address
1855 LAKELAND DR, SUITE R204, JACKSON, MS 39216-4913
(601) 981-4262
(601) 981-4264
Mailing address
1855 LAKELAND DR, SUITE R204, JACKSON, MS 39216-4913
(601) 981-4262
(601) 981-4264
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
03530/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440409
—
MS
Enumeration date
05/26/2006
Last updated
08/22/2020
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