Individual
JAMES HANNASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5019 LAVISTA RD, TUCKER, GA 30084-3541
(678) 720-0422
(678) 720-0440
Mailing address
5019 LAVISTA RD, TUCKER, GA 30084-3541
(678) 720-0422
(678) 720-0440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026125
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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