Provider Demographics
NPI:1790876068
Name:HANNA, BARBARA J (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:HANNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:HOBSON CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36201-7344
Mailing Address - Country:US
Mailing Address - Phone:256-832-0100
Mailing Address - Fax:256-832-0327
Practice Address - Street 1:608 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:HOBSON CITY
Practice Address - State:AL
Practice Address - Zip Code:36201-7344
Practice Address - Country:US
Practice Address - Phone:256-832-0100
Practice Address - Fax:256-832-0327
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15453207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009102350Medicaid
51087973OtherBLUE CROSS BLUE SHIELD
51087973OtherBLUE CROSS BLUE SHIELD
AL000087973Medicare PIN
BH1431028OtherDEA #