Individual
MR. ADAM CHRISTOPHER HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5889 TELFORD DR, SOUTHAVEN, MS 38671-6817
(731) 695-1038
Mailing address
5889 TELFORD DR, SOUTHAVEN, MS 38671-6817
(731) 695-1038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
856
TN
2255A2300X
Athletic Trainer
Primary
AT0496
MS
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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