Individual
HANNAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
580 PROVIDENCE PARK DR E FL 2, MOBILE, AL 36695-4614
(251) 631-3570
(251) 631-3572
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
09/11/2023
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