Individual
COURTNEY CARROLL HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27705-3904
(919) 449-8706
Mailing address
8413 REEDY RIDGE LN, RALEIGH, NC 27613-6885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
292731
NC
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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