SearchGeorgia183500000X

Mario Hanna

NPI 1083105837 · on the registry since 2018 · sole proprietor

Practice

Address
4575 Altama Ave
Brunswick, GA 31520
Phone
(925) 917-1507
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia