Individual
RANDEL HANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 W TYRONE RD, OAK RIDGE, TN 37830-6571
(865) 482-1076
Mailing address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 482-1076
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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