Healthcare Provider Details

I. General information

NPI: 1821739921
Provider Name (Legal Business Name): HANNAH BARRANCO RABUN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3686 GRANDVIEW PKWY STE 320
BIRMINGHAM AL
35243-3404
US

IV. Provider business mailing address

4200 COLONNADE PKWY
BIRMINGHAM AL
35243-2342
US

V. Phone/Fax

Practice location:
  • Phone: 205-971-5499
  • Fax: 205-971-5439
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD.54615
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: