Organization
HANNAHAN COMPREHENSIVE PAIN CARE PC
Active
Other names
Robert Hannahan Interventional spine specialist
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W HANNAHAN MD (OWNER)
(334) 417-0450
Entity
Organization
Contact information
Practice address
1275 JAMES DR STE B, ENTERPRISE, AL 36330
(251) 599-6445
(801) 315-4946
Mailing address
PO BOX 1747, MEMPHIS, TN 38101-1747
(334) 417-0450
(801) 315-4946
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20671
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060068
—
AL
Enumeration date
04/16/2018
Last updated
05/31/2018
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