Most Relevant Information
Provider Data
| NPI Number: | 1003550880 |
| Provider Name: | MARK HANLON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | HANL-PYH3G0 |
Most Important Dates
| Enumeration Date: | 04/26/2022 |
| Last Updated: | 04/26/2022 |
Provider Practice Location
101 MANNING DR
CHAPEL HILL
NC
275144220
Practice Location Phone/Fax
| Phone: | 9849741000 |
| Fax: |
Provider Mailing Location
3228 SYDENHAM ST
FAIRFAX
VA
220314844
Provider Mailing Phone/Fax
| Phone: | 5713570479 |
| Fax: |