Individual
KAMIL I HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 W 3RD AVE, SUITE 600, ALBANY, GA 31701
(229) 431-1022
(229) 903-1369
Mailing address
P O BOX 1326, ALBANY, GA 31702
(229) 431-1022
(229) 903-1369
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
059422
GA
207RC0000X
Cardiovascular Disease Physician
2001010086
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
059422
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191805
BLUE CROSS/BLUE SHIELD
—
05
—
205682511
—
MO
Enumeration date
06/02/2006
Last updated
02/14/2012
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