Individual
JOHN HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
(803) 791-2660
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30351
SC
367500000X
Certified Registered Nurse Anesthetist
423176
TX
367500000X
Certified Registered Nurse Anesthetist
AP104913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89171U
BCBS
TX
01
—
89489U
BCBS
TX
Enumeration date
07/20/2006
Last updated
06/25/2025
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