Individual
SUZANNE MISSAK HANNA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1958
Mailing address
6115 FLAMINGO DR, ROANOKE, VA 24018-5109
(540) 982-2463
(540) 224-1958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235930
VA
Other
Enumeration date
06/08/2006
Last updated
07/21/2022
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