Individual
DR. MARK JAMIESON HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(843) 497-5929
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1140
SC
207P00000X
Emergency Medicine Physician
Primary
2008-00474
NC
Other
Enumeration date
06/13/2006
Last updated
04/22/2015
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