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1073516837

NPI Code Detail

MEDICARE: THOMAS C HANEY MD

MEDICARE: THOMAS C HANEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME25101	FL
2	207X00000X	Orthopaedic Surgery Physician	012476	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073516837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS C HANEY MD

Provider Business Mailing Address
First Line	:	3334 CAPITAL MEDICAL BLVD STE 400
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4470
Country	:	US
Telephone Number	:	850-877-8174
Fax Number	:	850-877-5636

Provider Business Practice Location Address
First Line	:	3334 CAPITAL MEDICAL BLVD STE 400
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4470
Country	:	US
Telephone Number	:	850-877-8174
Fax Number	:	850-877-5636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/25/2015

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Directions to “ THOMAS C HANEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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