Individual
EUGENE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
993 JOHNSON FERRY RD NE, SUITE 330, ATLANTA, GA 30342-1620
(404) 236-0808
(404) 256-0709
Mailing address
993 JOHNSON FERRY RD NE, SUITE 330, ATLANTA, GA 30342-1620
(404) 236-0808
(404) 256-0709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069002
BCBS
GA
01
—
611446156001
TRICARE
GA
01
—
P00360336
MEDICARE RAILROAD
—
Enumeration date
04/17/2006
Last updated
06/09/2008
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