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NPI Code Detail

MEDICARE: HANNAH DOVER

MEDICARE: HANNAH DOVER
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
1363A00000XPhysician AssistantGA

General Provider Information

NPI Number : 1962234039
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH DOVER
Provider Business Mailing Address
First Line : 1462 CLIFTON RD NE STE 280
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number : 404-727-7825
Fax Number :
Provider Business Practice Location Address
First Line : 1462 CLIFTON RD NE # 280
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1063
Country : US
Telephone Number : 404-727-7825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 04/27/2026

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Directions to “ HANNAH DOVER ” Practice Location

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