Individual
EUGENE HANNAH
Active
Individual
EUGENE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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