Healthcare Provider Details

I. General information

NPI: 1720045644
Provider Name (Legal Business Name): SABRINA A HANNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNT SINAI DR
DAHLONEGA GA
30533-2367
US

IV. Provider business mailing address

330 MOUNT SINAI DR
DAHLONEGA GA
30533-2367
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-8015
  • Fax:
Mailing address:
  • Phone: 706-482-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number51809
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number40314
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberN1669
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number102027
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: