Individual
DR. PAUL W. HANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603-6069
(870) 541-6000
(870) 541-7618
Mailing address
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603-6069
(870) 541-6000
(870) 541-7618
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2018002789
MO
Other
Enumeration date
06/19/2015
Last updated
11/05/2025
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