Individual
PAUL HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 460-0326
(251) 460-2846
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34144
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454741
—
MS
05
—
173838
—
AL
01
—
511-63279
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/13/2009
Last updated
11/03/2015
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