Individual
PAUL C HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
2012 HAROBI DR STE A, TUCKER, GA 30084-5161
(404) 325-1221
(404) 636-0663
Mailing address
2012 HAROBI DR STE A, TUCKER, GA 30084-5161
(404) 325-1221
(404) 636-0663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-1584344
TAX ID
GA
Enumeration date
07/17/2006
Last updated
11/21/2011
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