MEDICARE: HANNAH H TRAN L.AC.

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	171100000X	Acupuncturist	378	GA

General Provider Information

NPI Number	:	1912421728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH H TRAN L.AC.

Provider Business Mailing Address
First Line	:	799 HAMMOND DR UNIT 103
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5593
Country	:	US
Telephone Number	:	404-310-4829
Fax Number	:

Provider Business Practice Location Address
First Line	:	2941 PIEDMONT RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2784
Country	:	US
Telephone Number	:	404-310-4829
Fax Number	:

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

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	08/02/2017

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