Healthcare Provider Details

I. General information

NPI: 1295179364
Provider Name (Legal Business Name): HANNAH ELLEN RATLIFF D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VALLEY ST NE
ABINGDON VA
24210-2912
US

IV. Provider business mailing address

30926 CHAROLAIS DR
GLADE SPRING VA
24340-3340
US

V. Phone/Fax

Practice location:
  • Phone: 276-206-8197
  • Fax:
Mailing address:
  • Phone: 276-492-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number5948
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102204901
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: