Provider Demographics
NPI:1528778776
Name:HANNEY, MARGARET NDIDI (CNA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NDIDI
Last Name:HANNEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1698 FORT CONNORS WAY
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-6793
Mailing Address - Country:US
Mailing Address - Phone:404-884-0545
Mailing Address - Fax:
Practice Address - Street 1:1698 FORT CONNORS WAY
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-6793
Practice Address - Country:US
Practice Address - Phone:404-884-0545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028896644376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide