Individual
RICHARD SCOTT HANNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6148
(706) 660-2843
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
050176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000911908C
MEDICAID-OFFICE
GA
01
—
000911908D
MEDICAID-MMC
GA
01
—
154403
MEDICAID-OFFICE
AL
01
—
52596568-001
BCBS
GA
01
—
601-11865
BCBS
AL
Enumeration date
02/28/2006
Last updated
02/10/2014
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