Provider Demographics
NPI:1326676727
Name:DRISCOLL, HANNAH CARROLL (DO)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:CARROLL
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 IRVING PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5301
Mailing Address - Country:US
Mailing Address - Phone:919-646-5331
Mailing Address - Fax:919-385-8874
Practice Address - Street 1:401 IRVING PKWY STE 230
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5301
Practice Address - Country:US
Practice Address - Phone:919-646-5331
Practice Address - Fax:919-385-8874
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-01258208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program