| Erin Hanover, M.d. Llc | |
|
200 Chase Park S Suite 102 Birmingham AL 35244-1884 | |
| (205) 987-0724 | |
| (205) 987-0725 |
| Full Name | Erin Hanover, M.d. Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 Chase Park S, Birmingham, Alabama |
| Authorized Official Name and Position | Erin Emmanuel Hanover (SOLE PROPRIETOR) |
| Authorized Official Contact | 2057670564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Hanover, M.d. Llc 116 Holland Trl Pelham AL 35124-3973 Ph: (205) 767-0564 | Erin Hanover, M.d. Llc 200 Chase Park S Suite 102 Birmingham AL 35244-1884 Ph: (205) 987-0724 |
| NPI Number | 1710274741 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710274741 | NPI | - | NPPES |
| 1073716064 | Other | AL | NPI TYPE 1 |
| R9629 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD.29132 (Alabama) | Primary |
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