Provider Demographics
NPI:1730531013
Name:WALTON, HANNAH CORNETT
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:CORNETT
Last Name:WALTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:ELIZABETH
Other - Last Name:CORNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9228 MEDICAL PLAZA DRIVE
Mailing Address - Street 2:HEAD AND NECK SPECIALIST
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406
Mailing Address - Country:US
Mailing Address - Phone:843-574-5693
Mailing Address - Fax:843-764-4512
Practice Address - Street 1:9228 MEDICAL PLAZA DRIVE
Practice Address - Street 2:HEAD AND NECK SPECIALIST
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:843-574-5693
Practice Address - Fax:843-764-4512
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET002352235Z00000X
SC7602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist