Healthcare Provider Details

I. General information

NPI: 1700434727
Provider Name (Legal Business Name): HANNAH BIRDSONG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HIGHWAY 155 N
MCDONOUGH GA
30252-5506
US

IV. Provider business mailing address

3500 HIGHWAY 155 N
MCDONOUGH GA
30252-5506
US

V. Phone/Fax

Practice location:
  • Phone: 770-882-0169
  • Fax:
Mailing address:
  • Phone: 770-882-0169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59855
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH031805
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: