Individual
MONA H HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 709-7007
Mailing address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 709-7007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606383B
—
GA
05
—
1952451262
—
GA
05
—
300030888A
—
GA
Enumeration date
07/17/2006
Last updated
05/21/2012
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