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NPI Code Detail

MEDICARE: ROBERT BRUCE HANLIN M.D.

MEDICARE: ROBERT BRUCE HANLIN M.D.
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
1207Q00000XFamily Medicine Physician17177SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
180130814OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568410280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT BRUCE HANLIN M.D.
Provider Business Mailing Address
First Line : 101 ORCHARD PARK DR
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3531
Country : US
Telephone Number : 864-729-6606
Fax Number : 855-617-4426
Provider Business Practice Location Address
First Line : 101 ORCHARD PARK DR
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3531
Country : US
Telephone Number : 864-729-6606
Fax Number : 855-617-4426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/14/2021

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