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Hannah Fordred, PA
Medical Physician Assistant in Panama City, Florida
NPI 1730558172

Hannah Fordred is a Medical Physician Assistant based in Panama City, FL and is specialized in Medical. Hannah Fordred practices in Panama City, FL and has the professional credentials of PA. The NPI Number for Hannah Fordred is 1730558172 and holds a License No. MA057844 (Florida).

The current practice location address for Hannah Fordred is 2100 State Ave, Panama City, FL and can be reached out via phone at 850-763-0036.

Location: 2100 State Ave, Panama City, FL, 32405-4587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730558172
Provider Name
Hannah Fordred
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2100 State Ave, Panama City, FL, 32405-4587
Phone Number
850-763-0036
Fax Number
Provider Enumeration Date
09/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113338100 05 FL
32130261 05 CO
institution
Provider Business Practice Location Address Details
Address
2100 State Ave
City
Panama City
State
Florida
Zip
32405-4587
Phone Number
850-763-0036
Fax Number
person
Provider Business Mailing Address Details
Address
2100 State Ave
City
Panama City
State
Florida
Zip
32405-4587
Phone Number
850-763-0036
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA057844 (Pennsylvania)
Definition
Definition to come...
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