Provider Demographics
NPI:1902281280
Name:AHMED, HANNAN
Entity Type:Individual
Prefix:
First Name:HANNAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 JIMMY CARTER BLVD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3257
Mailing Address - Country:US
Mailing Address - Phone:206-816-2656
Mailing Address - Fax:
Practice Address - Street 1:7050 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE 122
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3257
Practice Address - Country:US
Practice Address - Phone:206-816-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor