Individual
JOHN HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 NORTHCREST DR, WEAVERVILLE, NC 28787-4500
(310) 913-4050
Mailing address
PO BOX 648, WEAVERVILLE, NC 28787-0648
(310) 913-4050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
09/29/2016
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