Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 14088 | SC |
NPI | 1295744167 |
---|---|
Provider Name | Dr. Katie Bell Hanna |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 31/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E50047 | (02) | SC |