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NPI Code Detail

MEDICARE: MR. DOUGLAS WILLIAM HANNER DC

MEDICARE: MR. DOUGLAS WILLIAM HANNER DC
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
1111N00000XChiropractor1991SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811088990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS WILLIAM HANNER DC
Provider Business Mailing Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 855-663-7772
Fax Number : 864-309-8004
Provider Business Practice Location Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 855-663-7772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/28/2017

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