Individual
MR. JOSEPH THOMAS HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3715 NORTHSIDE PARKWAY NW, BLDG. 2-100, ATLANTA, GA 30327
(770) 938-1757
(770) 938-1759
Mailing address
3715 NORTHSIDE PARKWAY NW, BLDG. 2-100, ATLANTA, GA 30327
(770) 938-1757
(770) 938-1759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
025759
GA
207R00000X
Internal Medicine Physician
Primary
025759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509396C
—
GA
Enumeration date
12/10/2007
Last updated
05/18/2015
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