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NPI Code Detail

MEDICARE: HANNAH ATHAN

MEDICARE: HANNAH ATHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH025143GA

General Provider Information

NPI Number : 1134452808
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ATHAN
Provider Business Mailing Address
First Line : 1480 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-3670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1480 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-3670
Country : US
Telephone Number : 770-973-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 09/14/2009

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Directions to “ HANNAH ATHAN ” Practice Location

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