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1912940727 NPI number — MARK JAMIESON HANNA DO

NPI Number: 1912940727
Health Care Provider/Practitioner: MARK JAMIESON HANNA DO

Information about “1912940727” NPI (MARK JAMIESON HANNA DO) exists in 1912940727 in HTML format HTML  |  1912940727 in plain Text format TXT  |  1912940727 in PDF (Portable Document Format) PDF  |  1912940727 in an XML format XML  formats.

NPI Number : 1912940727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912940727",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNA",
    "FirstName": "MARK",
    "MiddleName": "JAMIESON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 3439",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MYRTLE BEACH",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29582-0439",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-839-4447",
    "MailingAddressFaxNumber": "843-399-0123",
    "FirstLinePracticeLocationAddress": "240 HOSPITAL DR NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOLIVIA",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28422-8346",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-497-5929",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2006",
    "LastUpdateDate": "04/22/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "2008-00474",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "1140",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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