Fred M Hannan Sr, D.d.s., Pc

NPI 1740438308 - Dentist - 1223G0001X

NPI Details
NPI 1740438308
Enumeration Date 09/08/2008
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FRED M FRED
Position DENTIST
Phone (706) 793-3600
Fax
Practice Location
4108 WINDSOR SPRING RD
HEPHZIBAH GA, 30815-5910, US
Phone (706) 793-3600
Fax
Business Location
4108 WINDSOR SPRING RD
HEPHZIBAH GA, 30815-5910, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 6539
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According to our database, Fred M Hannan Sr, D.d.s., Pc NPI is 1740438308, taxonomy code is 1223G0001X and license number is 6539, license state is located at Georgia. Fred M Hannan Sr, D.d.s., Pc physically located at 4108 Windsor Spring Rd, Hephzibah GA, 30815-5910. NPI Number 1033115704 has the healthcare provider type.

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1740438308 NPI number is provided on an as is basis without warranty of any kind. 1740438308 is maintained by the National Plan & Provider Enumeration System. The contents of Fred M Hannan Sr, D.d.s., Pc are for informational purposes only.