| Dr Paul W Hannam, MD | |
|
1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 | |
| (870) 541-6000 | |
| (870) 541-7618 |
| Full Name | Dr Paul W Hannam |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1601 W 40th Ave Ste 100, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861874489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2018002789 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul W Hannam, MD 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 Ph: (870) 541-6000 | Dr Paul W Hannam, MD 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 Ph: (870) 541-6000 |
Lidia Teshome Degefa, MD General Practice Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6010 Fax: 870-541-6009 | |
Dr. Christina Natalia Monroe, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1601 W. 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 |