DR. CHARLES WAYNE HANNAH (NPI# 1477660140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477660140 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAYNE HANNAH |
| Credential | M.D. |
| Practice Address |
122 Wentworth Dr Dothan AL 36305-6906 |
| Practice Telephone | 3347942093 |
| Practice Fax Number | 3347938009 |
| Mailing Telephone | 3347942093 |
| Mailing Fax Number | 3347938009 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 00003521 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679833586 | Charles Dwight Hannah | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2012-05-24 |
| Street Address |
122 WENTWORTH DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369945 | Cleveland & Gilchrist P C | Obstetrics & Gynecology | 202 Westside Dr, Dothan, AL 36303-1928 | 2006-09-22 |
| 1487665105 | Todd A Richards | Obstetrics & Gynecology | 1118 Ross Clark Circle Se, Doctor's Building Suite 600, Dothan, AL 36301-3007 | 2006-08-10 |
| 1982950911 | Tiffany General | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2012-07-27 |
| 1003191933 | Women's Wellness Center of Dothan, LLC | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2011-10-11 |
| 1528298924 | Ferguson Aesthetic Care and Enhancement Clinic | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 210, Dothan, AL 36301-3001 | 2009-07-20 |
| 1265674196 | Sharon Marie Bush-coaxum | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2009-03-24 |
| 1134313794 | Stephanie Gibson | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 600, Dothan, AL 36301-3001 | 2007-08-28 |
| 1134322217 | Allison Elizabeth Marker | Obstetrics & Gynecology | 137 Clinic Dr, Dothan, AL 36303-1992 | 2007-06-07 |
| 1659589166 | Bryan Mullins | Obstetrics & Gynecology | 4300 W Main St, Suite 31, Dothan, AL 36305-1054 | 2007-05-18 |
| 1427122514 | Dothan Obgyn, Inc. | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 402, Dothan, AL 36301-3001 | 2006-11-20 |
| Find all providers in DOTHAN | ||||
Please comment or provide details below to improve the information on DR. CHARLES WAYNE HANNAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.