Individual
DR. PATRICK EARL HANNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3602 B OLD SHELL RD, MOBILE, AL 36608
(251) 342-1002
(251) 342-1058
Mailing address
3602 B OLD SHELL RD, MOBILE, AL 36608
(251) 342-1002
(251) 342-1058
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4381
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51091426
BLUE CROSS
AL
01
—
855939
UNITED CONCORDIA
—
01
—
Z88635
BLUE CROSS
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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