Individual
DR. JEFFREY K HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MOBILE INFIRMARY CIR, SUITE 212, MOBILE, AL 36607-3520
(251) 433-2609
(251) 438-9607
Mailing address
3 MOBILE INFIRMARY CIR, SUITE 212, MOBILE, AL 36607-3520
(251) 433-2609
(251) 438-9607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14498
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528902590
—
AL
Enumeration date
07/18/2006
Last updated
07/25/2012
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