MEDICARE: ALANA HANEY FAMILY MEDICINE

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
1	261QP2300X	Primary Care Clinic/Center	PA0000001509	TN

General Provider Information

NPI Number	:	1447629670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALANA HANEY FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	395 HUNT RD SE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-8857
Country	:	US
Telephone Number	:	423-710-4771
Fax Number	:	855-629-8688

Provider Business Practice Location Address
First Line	:	2401 N OCOEE ST
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3853
Country	:	US
Telephone Number	:	423-710-4771
Fax Number	:	855-629-8688

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	MRS. ALANA MICHELLE HANEY
Credential	:	MPAS,PA-C,RN-C,CDDN
Telephone Number	:	423-710-4771

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	07/11/2016

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