Organization
ERIN HANOVER, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN EMMANUEL HANOVER M.D. (SOLE PROPRIETOR)
(205) 767-0564
Entity
Organization
Contact information
Practice address
200 CHASE PARK S, SUITE 102, BIRMINGHAM, AL 35244-1884
(205) 987-0724
(205) 987-0725
Mailing address
116 HOLLAND TRL, PELHAM, AL 35124-3973
(205) 767-0564
(205) 987-0725
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD.29132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073716064
NPI TYPE 1
AL
05
—
R9629
—
AL
Enumeration date
06/28/2011
Last updated
06/28/2011
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