Doctor Name: | JOHN J HAN |
NPI Number: | 1346466364 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 4704238690 |
Business Practice Address: | 541 Historic Hwy 441-n Demorest, GA - 305354528 |
Business Phone Number: | 7702197078 |
Business Fax Number: | 7702197365 |
Mailing Address: | Po Box 658, GAINESVILLE |
State: | GA |
Postal Code: | 305030658 |
Phone Number: | 7707181122 |
Fax Number: | 7705357445 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4704238690 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |