Individual
LEVI DOUGLAS HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
390 KEOWEE SCHOOL RD, SENECA, SC 29672-6743
(864) 885-7129
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24194
SC
Other
Enumeration date
08/19/2020
Last updated
05/12/2021
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